Lisa Ann Witkowski, MPAS, PA-C, LPC is a medicare enrolled "Physician Assistant - Medical" provider in Belleville, Wisconsin. Her current practice location is
1121 Bellwest Blvd, Belleville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 424-3384.
Lisa Ann Witkowski is licensed to practice in Wisconsin (license number 7951) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255431870.
Healthcare Provider's Profile
Full Name | Lisa Ann Witkowski |
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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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255431870
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234678269
- Enrollment ID: I20240909002302
Medical Identifiers
Medical identifiers for Lisa Ann Witkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255431870 | NPI | - | NPPES |
41 - 226 | Other | WI | WI DRL, LPC-TRAINING LIC. |
14292 | Other | WI | AODA CREDENTIAL |
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
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 |
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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