JILL WIRTH-RISSMAN MD NPI 1003028150

Family Medicine (Sports Medicine) in Washington, IL

NPI 1003028150 Individual Female Years of Experience 17 Family Medicine Sports Medicine PECOS Enrolled May Accept Medicare Approved Payment

About JILL WIRTH-RISSMAN

Jill Wirth-rissman is a primary care provider established in Washington, Illinois and her medical specialization is family medicine (sports medicine) with more than 17 years of experience. She graduated from Southern Illinois University School Of Medicine in 2005. The NPI number of Jill Wirth-rissman is 1003028150 and was assigned on May 2007. The practitioner's primary taxonomy code is 207QS0010X with license number 036119699 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

A primary care provider (PCP) like Jill Wirth-rissman Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jill Wirth-rissman is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jill Wirth-rissman is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data she has hospital affiliations with Proctor Hospital and Methodist Medical Center Of Illinois.

NPI

1003028150

Provider Name JILL WIRTH-RISSMAN MD
Provider Location Address205 N CUMMINGS LN WASHINGTON, IL 61571
Provider Mailing Address5100 RELIABLE PKWY CHICAGO, IL 60686
GenderFemale
NPI Entity TypeIndividual
Medical School NameSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-03-2007
Last Update Date01-24-2020


Primary Taxonomy

Taxonomy Code207QS0010X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationSports Medicine
License No.036119699
License StateIL
Taxonomy DescriptionA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Business Address

JILL WIRTH-RISSMAN MD
205 N CUMMINGS LN
WASHINGTON, IL
ZIP 61571
Phone: (309) 643-6210

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Mailing Address

JILL WIRTH-RISSMAN MD
5100 RELIABLE PKWY
CHICAGO, IL
ZIP 60686
Phone: (309) 672-4809



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7618056771
PECOS Enrollment IDI20080501000181
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 217Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 74Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 37Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 30Administration of influenza virus vaccine (HCPCS:G0008)
  • 17Urinalysis, manual test (HCPCS:81002)
  • 15Administration of pneumococcal vaccine (HCPCS:G0009)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jill Wirth-rissman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PROCTOR HOSPITAL5409 N KNOXVILLE AVE
PEORIA, IL 61614
(309) 691-1000Acute Care Hospitals140013
METHODIST MEDICAL CENTER OF ILLINOIS221 N E GLEN OAK AVE
PEORIA, IL 61636
(309) 672-5522Acute Care Hospitals140209

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
036119699OTHER (01)IL

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.