Jeffrey Witt, is a
Student In An Organized Health Care Education/training Program based in Phoenix, Arizona. Jeffrey Witt is licensed to practice in * (Not Available) (license number ) and his current practice location is
420 W Watkins Rd, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at
(602) 261-6842.
NPI number for Jeffrey Witt is 1871234146 and his current mailing address is 1310 S 118th Dr, Avondale, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871234146.
Healthcare Provider's Profile
| Full Name | Jeffrey Witt |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 420 W Watkins Rd, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871234146
- Provider Enumeration Date: 04/02/2022
- Last Update Date: 05/16/2023
Medical Identifiers
Medical identifiers for Jeffrey Witt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871234146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D011453 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jeffrey Witt 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 |
|---|
Jeffrey Witt,
1310 S 118th Dr,
Avondale, AZ 85323-6286
Ph: (801) 989-7427 | Jeffrey Witt,
420 W Watkins Rd,
Phoenix, AZ 85003-2830
Ph: (602) 261-6842 |
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