Dr Theodore R Wissink, MD in South Burlington, VT

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 University Of Vermont Medical Center Inc, 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 Name	Dr Theodore R Wissink
Gender	Male
Speciality	Family Practice
Experience	22 Years
Location	118 Tilley Dr Ste 201, South Burlington, Vermont
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:

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: I20251215003654

Medical Identifiers

Medical identifiers for Dr Theodore R Wissink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124193503	NPI	-	NPPES
432952299	Medicaid	ME
30207877	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	017817 (Maine)	Secondary
207Q00000X	Family Medicine	042.0019084 (Vermont)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Maine Medical Center	Portland, ME	Hospital
Univ. Of Vermont - Fletcher Allen Health Care	Burlington, VT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Vermont Medical Center Inc	3779491071	1197
Mainehealth	7517860588	2595

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 Address	Practice 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

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