Dr Gary Witucki, DO is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Saint Joseph, Michigan. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1184699472
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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