Kristin Marie Balthazor, PA-C, MPAS - Medicare Physician Assistant in Sheboygan, WI

Kristin Marie Balthazor, PA-C, MPAS is a medicare enrolled "Physician Assistant" in Sheboygan, Wisconsin. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Wisconsin Spine And Pain Sc and her current practice location is 2124 Kohler Memorial Dr, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (833) 821-7246.

Kristin Marie Balthazor is licensed to practice in Wisconsin (license number 4402-23) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649422619.

Contact Information

Kristin Marie Balthazor, PA-C, MPAS
2124 Kohler Memorial Dr,
Sheboygan, WI 53081-3169
(833) 821-7246
Not Available

Map and Direction




Provider's Profile

Full NameKristin Marie Balthazor
GenderFemale
SpecialityPhysician Assistant
Experience18 Years
Location2124 Kohler Memorial Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristin Marie Balthazor graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1649422619
  • Provider Enumeration Date: 10/21/2008
  • Last Update Date: 03/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345398921
  • Enrollment ID: I20220201000452

Medical Identifiers

Medical identifiers for Kristin Marie Balthazor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649422619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.003246 (Illinois)Secondary
363A00000XPhysician Assistant 4402-23 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wisconsin Spine And Pain Sc034566546912

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. Kristin Marie Balthazor 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
Kristin Marie Balthazor, PA-C, MPAS
3624 County Road I,
Saukville, WI 53080-1446

Ph: (630) 640-3057
Kristin Marie Balthazor, PA-C, MPAS
2124 Kohler Memorial Dr,
Sheboygan, WI 53081-3169

Ph: (833) 821-7246

Reviews and Comments


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Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    

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.