Dr Bonnie J Witrak, MD in Lynnwood, WA

Dr Bonnie J Witrak, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Lynnwood, Washington. Her current practice location is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 563-1500.

Dr Bonnie J Witrak is licensed to practice in Washington (license number MD00022896) 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 1720066293.

Contact Information

	Dr Bonnie J Witrak, MD
	19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748
	(425) 563-1500
	(425) 563-1501

Map and Direction

Physician's Profile

Full Name	Dr Bonnie J Witrak
Gender	Female
Speciality	Radiology - Neuroradiology
Location	19020 33rd Ave W Ste 210, Lynnwood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720066293
Provider Enumeration Date: 01/05/2006
Last Update Date: 08/05/2019

Medicare PECOS Information:

PECOS PAC ID: 1951354943
Enrollment ID: I20050302000468

Medical Identifiers

Medical identifiers for Dr Bonnie J Witrak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720066293	NPI	-	NPPES
1720066293	Medicaid	ID
117424	Other	WA	L&I PROVIDER NUMBER
120220	Other	WA	L&I PROVIDER NUMBER
224089	Other	WA	L&I PROVIDER NUMBER
8131740	Medicaid	WA
204125	Other	WA	L&I PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0700X	Radiology - Neuroradiology	M-12423 (Idaho)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD00022896 (Washington)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	M-12423 (Idaho)	Secondary
2085N0700X	Radiology - Neuroradiology	MD00022896 (Washington)	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. Dr Bonnie J Witrak allows following entities to bill medicare on her behalf.

Entity Name	Okanogan County Public Hospital Dist No 4
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750443834 PECOS PAC ID: 9335051150 Enrollment ID: O20040323000641

Entity Name	Swedish Radia Imaging Center At Edmonds Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20060106000841

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 Bonnie J Witrak 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 Bonnie J Witrak, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500	Dr Bonnie J Witrak, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500

Reviews and Comments

Radiology Doctors in Lynnwood, WA

Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Frederick F Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Judson E Threlkeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501
Dr. Andrew James Harrison, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501

Dr Bonnie J Witrak, MD - Medicare Radiology in Lynnwood, WA