Mark Richard Wittchow, DMD in La Crosse, WI

Mark Richard Wittchow, DMD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Mark Richard Wittchow is licensed to practice in Wisconsin (license number 6001325) 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 1083175087.

Contact Information

	Mark Richard Wittchow, DMD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Richard Wittchow
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083175087
Provider Enumeration Date: 03/31/2019
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4486008190
Enrollment ID: I20230929000482

Medical Identifiers

Medical identifiers for Mark Richard Wittchow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083175087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	DDS-09955 (Iowa)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	6001325 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Richard Wittchow allows following entities to bill medicare on his behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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. Mark Richard Wittchow 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
Mark Richard Wittchow, DMD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Mark Richard Wittchow, DMD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Dentist in La Crosse, WI

Dr. Gregory Cochrane, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3143 State Rd, Suite 100, La Crosse, WI 54601 Phone: 608-788-0030
Dr. Heather Rose Reyerson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2505 Loomis St, La Crosse, WI 54603 Phone: 608-779-4313
Ellyn M English, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Holly J Grimslid, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Main St, La Crosse, WI 54601 Phone: 608-782-6778
Zachariah Scruggs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2830 Darling Ct, La Crosse, WI 54601 Phone: 608-783-7330
Dr. Steven Allan Schmidt, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3143 State Rd, Suite 203, La Crosse, WI 54601 Phone: 608-788-3838 Fax: 608-788-9862
Dr. Yu Wen Lin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Mark Richard Wittchow, DMD - Medicare Dentist in La Crosse, WI