Kristofer Michael Wallman, MPAS, PA-C in Superior, WI

Kristofer Michael Wallman, MPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Superior, Wisconsin. He went to University Of Texas Medical School At San Antonio and graduated in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Midwest Clinic Of Dermatology Laser And Cosmetic Surgery Pa and his current practice location is Twin Ports Va Outpatient Clinic, 3520 Tower Ave., Superior, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 398-2931.

Kristofer Michael Wallman is licensed to practice in Minnesota (license number 9285) 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 1962439547.

Contact Information

	Kristofer Michael Wallman, MPAS, PA-C
	Twin Ports Va Outpatient Clinic, 3520 Tower Ave., Superior, WI 54880-5335
	(715) 398-2931
	(715) 398-2923

Map and Direction

Provider's Profile

Full Name	Kristofer Michael Wallman
Gender	Male
Speciality	Physician Assistant
Experience	27 Years
Location	Twin Ports Va Outpatient Clinic, Superior, Wisconsin
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:

Kristofer Michael Wallman attended and graduated from University Of Texas Medical School At San Antonio in 1997

NPI Data:

NPI Number: 1962439547
Provider Enumeration Date: 06/27/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 4981681202
Enrollment ID: I20040706000403

Medical Identifiers

Medical identifiers for Kristofer Michael Wallman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962439547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	9285 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Clinic Of Dermatology Laser And Cosmetic Surgery Pa	4385640960	5

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. Kristofer Michael Wallman 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
Kristofer Michael Wallman, MPAS, PA-C 94105 Paulus Rd, Sturgeon Lake, MN 55783-3812 Ph: (218) 485-5793	Kristofer Michael Wallman, MPAS, PA-C Twin Ports Va Outpatient Clinic, 3520 Tower Ave., Superior, WI 54880-5335 Ph: (715) 398-2931

Reviews and Comments

Physician Assistant Nurses in Superior, WI

Ms. Erin Lee Fisker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100
Rhiannon Elise Cullip, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100
Sarah Lynn Karl, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454
Jay Michael Ferguson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454
Labutale Walawwe Rajaguru, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100
Adam M Wennersten, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2222 E 5th St, Superior, WI 54880 Phone: 715-392-1955 Fax: 715-392-1935
Amy Marie Laflamme, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7000

Kristofer Michael Wallman, MPAS, PA-C - Medicare Physician Assistant in Superior, WI