Dr Christopher Lee Wistrom, DO - Medicare Emergency Medicine in Janesville, WI

Dr Christopher Lee Wistrom, DO is a medicare enrolled "Emergency Medicine" physician in Janesville, Wisconsin. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Rockford Health Physicians and his current practice location is 1000 Mineral Point Ave, Janesville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 756-6611.

Dr Christopher Lee Wistrom is licensed to practice in Wisconsin (license number 57145-21) 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 1700041886.

Contact Information

Dr Christopher Lee Wistrom, DO
1000 Mineral Point Ave,
Janesville, WI 53548-2940
(608) 756-6611
(608) 756-6177



Physician's Profile

Full NameDr Christopher Lee Wistrom
GenderMale
SpecialityEmergency Medicine
Experience16 Years
Location1000 Mineral Point Ave, Janesville, 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:
  • Dr Christopher Lee Wistrom attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2008
  NPI Data:
  • NPI Number: 1700041886
  • Provider Enumeration Date: 07/28/2008
  • Last Update Date: 08/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2365613221
  • Enrollment ID: I20140428000631

Medical Identifiers

Medical identifiers for Dr Christopher Lee Wistrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700041886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101017770 (Michigan)Secondary
207P00000XEmergency Medicine 57145-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Javon Bea HospitalRockford, ILHospital
Mercy Health System CorpJanesville, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rockford Health Physicians2567374036289

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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. Dr Christopher Lee Wistrom allows following entities to bill medicare on his behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584

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Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031111000307

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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. Dr Christopher Lee Wistrom 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
Dr Christopher Lee Wistrom, DO
1000 Mineral Point Ave,
Janesville, WI 53548-2940

Ph: (608) 756-6611
Dr Christopher Lee Wistrom, DO
1000 Mineral Point Ave,
Janesville, WI 53548-2940

Ph: (608) 756-6611

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Emergency Medicine Doctors in Janesville, WI

Michael J. Hartmann, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6111    Fax: 608-756-6177
Dr. Michael V Coogan, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6000    
Sean William Marquis, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6611    Fax: 608-756-6177
Dr. Karl A Nibbelink, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6611    
Christopher M. Koenig, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6611    Fax: 608-756-6177
Dr. Martin Fedko,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6611    Fax: 608-756-6177
Stephen L Merrill, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3524 E Milwaukee St, Janesville, WI 53546
Phone: 608-756-7100    Fax: 608-756-4700

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