Dr Theodore R Wissink, MD - Medicare Family Practice in South Burlington, VT

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Dr Theodore R Wissink, MD is a medicare enrolled "Family Medicine" physician in South Burlington, Vermont. He went to University Of Minnesota Medical School and graduated in 2004 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mainehealth and his current practice location is 118 Tilley Dr Ste 201, South Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 847-5550.

Dr Theodore R Wissink is licensed to practice in Vermont (license number 042.0019084) 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 1124193503.

Contact Information

Dr Theodore R Wissink, MD
118 Tilley Dr Ste 201,
South Burlington, VT 05403-4450
(802) 847-5550
(802) 847-3646

Map and Direction




Physician's Profile

Full NameDr Theodore R Wissink
GenderMale
SpecialityFamily Practice
Experience22 Years
Location118 Tilley Dr Ste 201, South Burlington, Vermont
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 Theodore R Wissink attended and graduated from University Of Minnesota Medical School in 2004
  NPI Data:
  • NPI Number: 1124193503
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 12/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5890869770
  • Enrollment ID: I20080812000033

Medical Identifiers

Medical identifiers for Dr Theodore R Wissink such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124193503NPI-NPPES
432952299MedicaidME
30207877MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 017817 (Maine)Secondary
207Q00000XFamily Medicine 042.0019084 (Vermont)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maine Medical CenterPortland, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mainehealth75178605882288

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 Theodore R Wissink allows following entities to bill medicare on his behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467477349
PECOS PAC ID: 9335043967
Enrollment ID: O20031125000026
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639194509
PECOS PAC ID: 7517860588
Enrollment ID: O20040206000472
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598780447
PECOS PAC ID: 9335043967
Enrollment ID: O20040220000847
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144090
PECOS PAC ID: 9335043967
Enrollment ID: O20040331000191
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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 Theodore R Wissink 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 Theodore R Wissink, MD
111 Colchester Ave,
Burlington, VT 05401-1473

Ph: (802) 847-0000		Dr Theodore R Wissink, MD
118 Tilley Dr Ste 201,
South Burlington, VT 05403-4450

Ph: (802) 847-5550

Reviews and Comments


Family Medicine Doctors in South Burlington, VT

Kate Lamancuso, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Timber Ln, South Burlington, VT 05403
Phone: 802-847-8500    Fax: 802-847-6140
Dr. Sepinoud Bazel, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 20 Kimball Ave Ste 303, South Burlington, VT 05403
Phone: 802-495-5817    
David Lisle, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 192 Tilley Dr, Orthopaedic Specialty Center, South Burlington, VT 05403
Phone: 802-847-2663    
Dr. Robert A Luebbers, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1775 Williston Rd, South Burlington, VT 05403
Phone: 802-847-8500    Fax: 802-847-6140
Micheal R Sirois, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1775 Williston Rd, South Burlington, VT 05403
Phone: 802-847-8500    Fax: 802-860-4324
Mrs. Kathryn Ridgely Applegate,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 118 Tilley Dr Ste 201, South Burlington, VT 05403
Phone: 802-847-5550    

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.