Paul John Wisniewski, DO - Medicare Critical Care (intensivists) in Apple Valley, CA

  1. Home
  2. Surgery
  3. CA
  4. Apple Valley
Paul John Wisniewski, DO is a medicare enrolled "Surgery - Surgical Critical Care" physician in Apple Valley, California. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Paul J Wisniewski Do Inc, Lutheran Medical Group Llc and his current practice location is 18523 Corwin Rd Ste A, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (909) 353-5285.

Paul John Wisniewski is licensed to practice in California (license number CA209062) 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 1063674190.

Contact Information

Paul John Wisniewski, DO
18523 Corwin Rd Ste A,
Apple Valley, CA 92307-2300
(909) 353-5285
Not Available

Map and Direction




Physician's Profile

Full NamePaul John Wisniewski
GenderMale
SpecialityCritical Care (intensivists)
Experience22 Years
Location18523 Corwin Rd Ste A, Apple Valley, California
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:
  • Paul John Wisniewski attended and graduated from Nova Southeastern College Of Osteo Medicine in 2003
  NPI Data:
  • NPI Number: 1063674190
  • Provider Enumeration Date: 06/30/2008
  • Last Update Date: 10/31/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0042342990
  • Enrollment ID: I20100713000445

Medical Identifiers

Medical identifiers for Paul John Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063674190NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care CA209062 (California)Primary
2086S0102XSurgery - Surgical Critical Care OS 12023 (Florida)Secondary
208600000XSurgery 20A9062 (California)Secondary
2086S0102XSurgery - Surgical Critical Care DO034774 (District Of Columbia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Medical CenterApple valley, CAHospital
Lutheran Hospital Of IndianaFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paul J Wisniewski Do Inc50922406066
Lutheran Medical Group Llc4981751617232

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. Paul John Wisniewski allows following entities to bill medicare on his behalf.
Entity NameCal Med Physicians And Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316054737
PECOS PAC ID: 4385556687
Enrollment ID: O20031104000708
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameDesert Trauma Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144225426
PECOS PAC ID: 0547366106
Enrollment ID: O20070428000140
Entity NameOc Trauma Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720516628
PECOS PAC ID: 7214205152
Enrollment ID: O20170822002564
Entity NamePaul J Wisniewski Do Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780433698
PECOS PAC ID: 5092240606
Enrollment ID: O20241119004099

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. Paul John Wisniewski 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
Paul John Wisniewski, DO
18523 Corwin Rd Ste A,
Apple Valley, CA 92307-2300

Ph: (909) 712-2764		Paul John Wisniewski, DO
18523 Corwin Rd Ste A,
Apple Valley, CA 92307-2300

Ph: (909) 353-5285

Reviews and Comments


Surgery Doctors in Apple Valley, CA

Rao Venkateswara Daluvoy, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15982 Quantico Rd Ste D, Apple Valley, CA 92307
Phone: 760-810-0920    Fax: 760-515-6044
Dr. Chris Okwuosa, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 18310 Us Highway 18, Apple Valley, CA 92307
Phone: 760-998-2312    Fax: 760-242-3371
Mr. Nathan S Chung, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 19341 Bear Valley Road, Suite 205, Apple Valley, CA 92308
Phone: 760-247-0333    Fax: 760-247-8492
Dr. Ferdinand Reyes Rico, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 18310 Us Highway 18, Apple Valley, CA 92307
Phone: 760-241-6666    Fax: 760-947-5619
Omar Zahoor Tahir, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 16008 Kamana Rd Ste 101, Apple Valley, CA 92307
Phone: 760-683-2199    Fax: 888-355-9670
Dr. Vincent Ede Ajanwachuku, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 16133 Kamana Rd, Apple Valley, CA 92307
Phone: 760-242-8491    Fax: 760-242-8495

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.