Dr Gregory Paul Wittpenn, MD | |
3616 N University Dr, Nacogdoches, TX 75965-2539 | |
(936) 564-3744 | |
(936) 564-0642 |
Full Name | Dr Gregory Paul Wittpenn |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 44 Years |
Location | 3616 N University Dr, Nacogdoches, Texas |
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 |
---|---|---|---|
1326007303 | NPI | - | NPPES |
4470780 | Other | TX | AETNA PIN |
0070LY | Other | TX | BLUE CROSS PROVIDER # |
3324976 | Other | TX | REDILINK BLUE # |
173185301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2082S0105X | Plastic Surgery - Surgery Of The Hand | H8896 (Texas) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | H8896 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nacogdoches County Hospital District | Nacogdoches, TX | Hospital |
Entity Name | Gregory P. Wittpenn, Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366627499 PECOS PAC ID: 1951354307 Enrollment ID: O20050224000969 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Paul Wittpenn, MD 3616 N University Dr, Nacogdoches, TX 75965-2539 Ph: (936) 564-3744 | Dr Gregory Paul Wittpenn, MD 3616 N University Dr, Nacogdoches, TX 75965-2539 Ph: (936) 564-3744 |
Dr. James Earl Redfield Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1023 N Mound St Ste H, Nacogdoches, TX 75961 Phone: 936-569-2590 Fax: 936-569-2592 | |
Dr. Robert R Carlson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1320 N University Dr Ste A, Nacogdoches, TX 75961 Phone: 936-568-9600 | |
Ms. Marian Kathleen Querry, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 North St, Nacogdoches, TX 75961 Phone: 936-462-4325 Fax: 936-205-4019 | |
Dr. Rodolfo Jose Oviedo, MD, FACS, FASMBS Surgery Medicare: Accepting Medicare Assignments Practice Location: 4848 Ne Stallings Dr Ste 102, Nacogdoches, TX 75965 Phone: 936-569-9481 | |
Dr. Donald E Cagle, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 320 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-569-6411 Fax: 936-569-6446 | |
Dr. Mark Alford Randel, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3618 N University Dr, Nacogdoches, TX 75965 Phone: 936-568-9993 Fax: 936-568-9996 | |
Dr. Jason P Suits, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 N Mound St, Nacogdoches, TX 75961 Phone: 936-569-2590 Fax: 936-569-2592 |