Dr Gary Witucki, DO is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Saint Joseph, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakeland Medical Practices and his current practice location is
1234 Napier Ave, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 983-8601.
Dr Gary Witucki is licensed to practice in Michigan (license number 5101011763) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184699472.
Physician's Profile
| Full Name | Dr Gary Witucki |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 32 Years |
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| Location | 1234 Napier Ave, Saint Joseph, Michigan |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Gary Witucki attended and graduated from Michigan State University College Of Osteopathic Medicine in 1992
NPI Data:
- NPI Number: 1184699472
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527055961
- Enrollment ID: I20191219000727
Medical Identifiers
Medical identifiers for Dr Gary Witucki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184699472 | NPI | - | NPPES |
| 000000601505 | Other | KY | ANTHEM |
| 3300156 | Medicaid | TN | |
| 7100075950 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 03087 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 57339 (Wisconsin) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 57339 (Wisconsin) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 5101011763 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lakeland Medical Practices | 1658427042 | 260 |
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 Gary Witucki allows following entities to bill medicare on his behalf.
| Entity Name | Lakeland Medical Practices |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216 |
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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. Dr Gary Witucki 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 Gary Witucki, DO
1234 Napier Ave,
Saint Joseph, MI 49085-2112
Ph: () - | Dr Gary Witucki, DO
1234 Napier Ave,
Saint Joseph, MI 49085-2112
Ph: (269) 983-8601 |
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