Eric Wideburg, DO - Medicare Radiology in Waukesha, WI

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Eric Wideburg, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Waukesha, Wisconsin. His current practice location is W231n1440 Corporate Ct, Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 896-6000.

Eric Wideburg is licensed to practice in Wisconsin (license number 72422-21) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679004469.

Contact Information

Eric Wideburg, DO
W231n1440 Corporate Ct,
Waukesha, WI 53186-1303
(262) 896-6000
Not Available

Map and Direction




Physician's Profile

Full NameEric Wideburg
GenderMale
SpecialityRadiology - Diagnostic Radiology
LocationW231n1440 Corporate Ct, Waukesha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679004469
  • Provider Enumeration Date: 03/23/2017
  • Last Update Date: 03/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7416301387
  • Enrollment ID: I20230926002570

Medical Identifiers

Medical identifiers for Eric Wideburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679004469NPI-NPPES
100096055MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 72422-21 (Wisconsin)Primary

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. Eric Wideburg allows following entities to bill medicare on his behalf.
Entity NameWisconsin Radiology Specialists S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568446003
PECOS PAC ID: 2961314091
Enrollment ID: O20031105000585
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694
Entity NamePremier Radiology Wisconsin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952951154
PECOS PAC ID: 9537595533
Enrollment ID: O20200211002818
Entity NamePrecision Radiology - Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265156640
PECOS PAC ID: 6305218298
Enrollment ID: O20230201002800

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. Eric Wideburg 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
Eric Wideburg, DO
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Eric Wideburg, DO
W231n1440 Corporate Ct,
Waukesha, WI 53186-1303

Ph: (262) 896-6000

Reviews and Comments


Radiology Doctors in Waukesha, WI

Dr. Marc A Burrell, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186
Phone: 262-896-6000    
Dr. David Joseph Czarnecki, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 725 American Ave, Waukesha, WI 53188
Phone: 262-928-2400    Fax: 262-928-7621
Dr. Gregory Allen Kass, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 725 American Ave, Waukesha, WI 53188
Phone: 262-928-2400    Fax: 262-928-7621
Dr. David Morgan Roelke, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 725 American Ave, Waukesha, WI 53188
Phone: 262-928-2400    Fax: 262-928-7621
Dr. Jennifer T Bergin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 725 American Ave, Waukesha, WI 53188
Phone: 262-928-2400    
Dr. David Orlin Yenerich, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 725 American Ave, Waukesha, WI 53188
Phone: 262-928-2400    Fax: 262-928-7621
Bambi R Weyers, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: N16w24131 Riverwood Drive, Waukesha, WI 53188
Phone: 262-696-0696    Fax: 262-696-0683

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.