Paul John Wisniewski, DO in Colton, CA - Medicare Critical Care (intensivists)

Paul John Wisniewski, DO is a medicare enrolled "Surgery - Surgical Critical Care" physician in Colton, California. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Desert Trauma Surgeons Inc, Lutheran Medical Group Llc and his current practice location is 400 N Pepper Ave Ste 308, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 580-3353.

Paul John Wisniewski is licensed to practice in California (license number CA209062) 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 1063674190.

Contact Information

	Paul John Wisniewski, DO
	400 N Pepper Ave Ste 308, Colton, CA 92324-1801
	(909) 580-3353
	(909) 580-1363

Map and Direction

Physician's Profile

Full Name	Paul John Wisniewski
Gender	Male
Speciality	Critical Care (intensivists)
Experience	21 Years
Location	400 N Pepper Ave Ste 308, Colton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul John Wisniewski attended and graduated from Nova Southeastern College Of Osteo Medicine in 2003

NPI Data:

NPI Number: 1063674190
Provider Enumeration Date: 06/30/2008
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 0042342990
Enrollment ID: I20100713000445

Medical Identifiers

Medical identifiers for Paul John Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063674190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	CA209062 (California)	Primary
208600000X	Surgery	20A9062 (California)	Secondary
2086S0102X	Surgery - Surgical Critical Care	OS 12023 (Florida)	Secondary
2086S0102X	Surgery - Surgical Critical Care	DO034774 (District Of Columbia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
John F Kennedy Memorial Hospital	Indio, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Desert Trauma Surgeons Inc	0547366106	42
Lutheran Medical Group Llc	4981751617	264

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. Paul John Wisniewski allows following entities to bill medicare on his behalf.

Entity Name	Cal Med Physicians And Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316054737 PECOS PAC ID: 4385556687 Enrollment ID: O20031104000708

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Desert Trauma Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144225426 PECOS PAC ID: 0547366106 Enrollment ID: O20070428000140

Entity Name	Oc Trauma Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720516628 PECOS PAC ID: 7214205152 Enrollment ID: O20170822002564

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. Paul John Wisniewski 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 Address	Practice Location Address
Paul John Wisniewski, DO Po Box 670, Redlands, CA 92373-0221 Ph: (909) 580-3353	Paul John Wisniewski, DO 400 N Pepper Ave Ste 308, Colton, CA 92324-1801 Ph: (909) 580-3353

Reviews and Comments

Surgery Doctors in Colton, CA

Amir Ali Rahnemai Azar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363
Keith James Glover, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 877-873-2762
Dr. Farabi M. Hussain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N. Pepper Ave., Surgery - Mob 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363
Appannagari Gnanadev, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Armc Modular # 3, Colton, CA 92324 Phone: 909-580-6210 Fax: 909-580-1363
Victor Joe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Armc, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363
Milton Retamozo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Dept Surgery Modular # 3, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363

Paul John Wisniewski, DO - Medicare Critical Care (intensivists) in Colton, CA