Dr Daniel Allen Wittersheim, MD | |
6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 | |
(228) 230-2663 | |
(228) 206-1192 |
Full Name | Dr Daniel Allen Wittersheim |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 17 Years |
Location | 6300 E Lake Blvd, Vancleave, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104012566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 22559 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
Singing River Health System | Pascagoula, MS | Hospital |
Garden Park Medical Center | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bienville Orthopaedic Specialists, Llc | 0547155178 | 46 |
Oal Care Of Al, Llc | 1254668031 | 10 |
Entity Name | Bienville Orthopaedic Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689605834 PECOS PAC ID: 0547155178 Enrollment ID: O20040220000834 |
Entity Name | Oal Care Of Al, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720540693 PECOS PAC ID: 1254668031 Enrollment ID: O20210422000100 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Allen Wittersheim, MD 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565-6770 Ph: (228) 230-2663 | Dr Daniel Allen Wittersheim, MD 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565-6770 Ph: (228) 230-2663 |
Matthew Wesley Lewis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565 Phone: 228-206-2263 Fax: 228-206-1192 | |
Charles Joseph Winters, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-546-3257 | |
Dr. John Kirk Drake, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6300 E Lake Blvd, Suite 201, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-206-1192 | |
Thomas Jordan Lucak, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-546-3257 | |
David P Taormina, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-546-3257 | |
Dr. Christopher Burks, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-206-1192 |