James M Waltenberger, MD - Medicare General Surgery in Mount Pleasant, WI

James M Waltenberger, MD is a medicare enrolled "Surgery" physician in Mount Pleasant, Wisconsin. He went to Medical College Of Wisconsin and graduated in 1998 and has 26 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 13250 Washington Ave, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (888) 720-2012.

James M Waltenberger is licensed to practice in Wisconsin (license number 45831) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033129697.

Contact Information

James M Waltenberger, MD
13250 Washington Ave,
Mount Pleasant, WI 53177-1516
(888) 720-2012
Not Available

Map and Direction




Physician's Profile

Full NameJames M Waltenberger
GenderMale
SpecialityGeneral Surgery
Experience26 Years
Location13250 Washington Ave, Mount Pleasant, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James M Waltenberger attended and graduated from Medical College Of Wisconsin in 1998
  NPI Data:
  • NPI Number: 1033129697
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 07/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799888335
  • Enrollment ID: I20070320000086

Medical Identifiers

Medical identifiers for James M Waltenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033129697NPI-NPPES
34406900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 45831 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Memorial Hospital BurlingtonBurlington, WIHospital
Aurora Lakeland Medical CenterElkhorn, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583269

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James M Waltenberger allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James M Waltenberger is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James M Waltenberger, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (888) 720-2012
James M Waltenberger, MD
13250 Washington Ave,
Mount Pleasant, WI 53177-1516

Ph: (888) 720-2012

Reviews and Comments


Surgery Doctors in Mount Pleasant, WI

Lindsey Nicole Clark, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3811 Spring St # 201, Mount Pleasant, WI 53405
Phone: 262-687-5850    
Steven J. Ryder, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177
Phone: 888-720-2012    
Mr. Nathan Boren,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3811 Spring St # 201, Mount Pleasant, WI 53405
Phone: 773-975-1600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.