Lisa Ann Witkowski, MPAS, PA-C, LPC is a
Physician Assistant - Medical based in Belleville, Wisconsin. Lisa Ann Witkowski is licensed to practice in Wisconsin (license number 7951) and her current practice location is
1121 Bellwest Blvd, Belleville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 424-3384.
NPI number for Lisa Ann Witkowski is 1255431870 and her current mailing address is 7974 Uw Health Ct, Middleton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255431870.
Healthcare Provider's Profile
| Full Name | Lisa Ann Witkowski |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 1121 Bellwest Blvd, Belleville, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255431870
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 08/21/2024
Medical Identifiers
Medical identifiers for Lisa Ann Witkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255431870 | NPI | - | NPPES |
| 14292 | Other | WI | AODA CREDENTIAL |
| 41 - 226 | Other | WI | WI DRL, LPC-TRAINING LIC. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4213-125 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 4213-125 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 7951-23 (Wisconsin) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 7951 (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. Lisa Ann Witkowski 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 |
|---|
Lisa Ann Witkowski, MPAS, PA-C, LPC
7974 Uw Health Ct,
Middleton, WI 53562-5531
Ph: () - | Lisa Ann Witkowski, MPAS, PA-C, LPC
1121 Bellwest Blvd,
Belleville, WI 53508-9433
Ph: (608) 424-3384 |
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