Kristofer Michael Wallman, MPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Foley, Minnesota. He went to University Of Texas Medical School At San Antonio and graduated in 1997 and has 29 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Midwest Clinic Of Dermatology Laser And Cosmetic Surgery Pa and his current practice location is
700 Penn St, Foley, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 774-3636.
Kristofer Michael Wallman is licensed to practice in Minnesota (license number 9285) 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 1962439547.
Provider's Profile
| Full Name | Kristofer Michael Wallman |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 29 Years |
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| Location | 700 Penn St, Foley, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristofer Michael Wallman attended and graduated from University Of Texas Medical School At San Antonio in 1997
NPI Data:
- NPI Number: 1962439547
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 05/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 4981681202
- Enrollment ID: I20040706000403
Medical Identifiers
Medical identifiers for Kristofer Michael Wallman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962439547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 9285 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Clinic Of Dermatology Laser And Cosmetic Surgery Pa | 4385640960 | 5 |
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. Kristofer Michael Wallman 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 |
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Kristofer Michael Wallman, MPAS, PA-C
22957 27th Ave,
Saint Augusta, MN 56301-2201
Ph: (218) 341-3031 | Kristofer Michael Wallman, MPAS, PA-C
700 Penn St,
Foley, MN 56329-8700
Ph: (320) 774-3636 |
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