Dr William Russell Pinkonsly, MD is a
Emergency Medicine physician based in Wautoma, Wisconsin. Dr William Russell Pinkonsly is licensed to practice in Wisconsin (license number 48295) and his current practice location is N2934 Highway 22, Wautoma, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 787-4613.
NPI number for Dr William Russell Pinkonsly is 1295837797 and his current mailing address is 1300 South Drive, Po Box 0009, Winnebago, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295837797.
Physician's Profile
| Full Name | Dr William Russell Pinkonsly |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | N2934 Highway 22, Wautoma, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295837797
- Provider Enumeration Date: 09/04/2006
- Last Update Date: 07/21/2016
Medical Identifiers
Medical identifiers for Dr William Russell Pinkonsly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295837797 | NPI | - | NPPES |
| 4136296002 | Other | WI | UHC MA DIAMOND PROV # |
| P00252127 | Other | WI | RR MEDICARE PROV # |
| 43523600 | Medicaid | WI | |
| 47763 | Other | WI | NETWORK HEALTH PROV # |
| 48295 | Other | WI | STATE LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 48295 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 48295 (Wisconsin) | Primary |
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 William Russell Pinkonsly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr William Russell Pinkonsly, MD
1300 South Drive, Po Box 0009,
Winnebago, WI 54985
Ph: (920) 235-4910 | Dr William Russell Pinkonsly, MD
N2934 Highway 22,
Wautoma, WI 54982
Ph: (920) 787-4613 |
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