Dr Kristopher Wyllis Peterson, DC - Medicare Chiropractor in Kenosha, WI

Dr Kristopher Wyllis Peterson, DC is a medicare enrolled "Chiropractor" provider in Kenosha, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 2000 and has 24 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Lp Chiropractic Llc and his current practice location is 5703 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 697-1363.

Dr Kristopher Wyllis Peterson is licensed to practice in Wisconsin (license number 3762012) 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 1003862871.

Contact Information

Dr Kristopher Wyllis Peterson, DC
5703 75th St,
Kenosha, WI 53142-3603
(262) 697-1363
(262) 697-1388

Map and Direction




Healthcare Provider's Profile

Full NameDr Kristopher Wyllis Peterson
GenderMale
SpecialityChiropractic
Experience24 Years
Location5703 75th St, Kenosha, 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 Kristopher Wyllis Peterson attended and graduated from Palmer College Chiropractic - Davenport in 2000
  NPI Data:
  • NPI Number: 1003862871
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6608890710
  • Enrollment ID: I20060119000084

Medical Identifiers

Medical identifiers for Dr Kristopher Wyllis Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003862871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 3762012 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lp Chiropractic Llc67098008162

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 Kristopher Wyllis Peterson allows following entities to bill medicare on his behalf.
Provider NameLp Chiropractic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508072836
PECOS PAC ID: 6709800816
Enrollment ID: O20060117000266

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 Kristopher Wyllis Peterson 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 Kristopher Wyllis Peterson, DC
5703 75th St,
Kenosha, WI 53142-3603

Ph: (262) 697-1363
Dr Kristopher Wyllis Peterson, DC
5703 75th St,
Kenosha, WI 53142-3603

Ph: (262) 697-1363

Reviews and Comments


Chiropractor in Kenosha, WI

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Phone: 262-909-1039    

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.