Dr Matthew Mark Witkowski, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Iowa City, Iowa. His current practice location is
801 Newton Rd, Iowa City, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 335-7440.
Dr Matthew Mark Witkowski is licensed to practice in Iowa (license number RES-30652) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508366717.
Healthcare Provider's Profile
| Full Name | Dr Matthew Mark Witkowski |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 801 Newton Rd, Iowa City, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508366717
- Provider Enumeration Date: 02/14/2018
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284970724
- Enrollment ID: I20190104000345
Medical Identifiers
Medical identifiers for Dr Matthew Mark Witkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508366717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 019032088 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RES-30652 (Iowa) | 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. Dr Matthew Mark 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 |
|---|
Dr Matthew Mark Witkowski, DMD
322 Dental Science Bldg S,
Iowa City, IA 52242-1001
Ph: (319) 335-7440 | Dr Matthew Mark Witkowski, DMD
801 Newton Rd,
Iowa City, IA 52242-1001
Ph: (319) 335-7440 |
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