Diane M Witek, MD is a medicare enrolled "Family Medicine" physician in Jackson, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and her current practice location is
W225n16711 Cedar Park Ct, Jackson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 677-1101.
Diane M Witek is licensed to practice in Wisconsin (license number 52622) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316157779.
Physician's Profile
| Full Name | Diane M Witek |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 18 Years |
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| Location | W225n16711 Cedar Park Ct, Jackson, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diane M Witek attended and graduated from University Of Wisconsin School Of Medicine in 2007
NPI Data:
- NPI Number: 1316157779
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 04/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 2668597733
- Enrollment ID: I20100913000725
Medical Identifiers
Medical identifiers for Diane M Witek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316157779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 52622 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
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. Diane M Witek allows following entities to bill medicare on her behalf.
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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. Diane M Witek 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 |
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Diane M Witek, MD
1700 W Paradise Dr,
West Bend, WI 53095-9795
Ph: (262) 334-3451 | Diane M Witek, MD
W225n16711 Cedar Park Ct,
Jackson, WI 53037-9222
Ph: (262) 677-1101 |
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