Uri Vaisman, MD is a medicare enrolled "Surgery" physician in Berlin, Wisconsin. He went to State University Of New York Downstate Medical Center and graduated in 1974 and has 50 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Portage Radiology, Sc and his current practice location is
225 Memorial Dr, Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 361-5554.
Uri Vaisman is licensed to practice in Wisconsin (license number 21880-020) 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 1508859653.
Physician's Profile
Full Name | Uri Vaisman |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 50 Years |
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Location | 225 Memorial Dr, Berlin, Wisconsin |
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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:
- Uri Vaisman attended and graduated from State University Of New York Downstate Medical Center in 1974
NPI Data:
- NPI Number: 1508859653
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739156027
- Enrollment ID: I20040915000932
Medical Identifiers
Medical identifiers for Uri Vaisman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508859653 | NPI | - | NPPES |
30718200 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 21880-020 (Wisconsin) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 21880-020 (Wisconsin) | Primary |
208600000X | Surgery | 21880-020 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Portage Radiology, Sc | 8022911536 | 6 |
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. Uri Vaisman allows following entities to bill medicare on his behalf.
Entity Name | Portage Radiology, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104834811 PECOS PAC ID: 8022911536 Enrollment ID: O20040131000075 |
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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. Uri Vaisman 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 |
Uri Vaisman, MD 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-1313 | Uri Vaisman, MD 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-5554 |
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