Dr Kathleen R Wittberg, MD in Dayton, OH - Medicare Family Medicine

Dr Kathleen R Wittberg, MD is a medicare enrolled "Family Medicine" physician in Dayton, Ohio. Her current practice location is 9000 North Main St, Main Street Family Practice Inc Suite 403, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 836-5171.

Dr Kathleen R Wittberg is licensed to practice in Ohio (license number 35048051) 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 1144220641.

Contact Information

	Dr Kathleen R Wittberg, MD
	9000 North Main St, Main Street Family Practice Inc Suite 403, Dayton, OH 45415-1180
	(937) 836-5171
	(937) 832-0728

Map and Direction

Physician's Profile

Full Name	Dr Kathleen R Wittberg
Gender	Female
Speciality	Family Medicine
Location	9000 North Main St, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144220641
Provider Enumeration Date: 07/26/2005
Last Update Date: 03/24/2008

Medicare PECOS Information:

PECOS PAC ID: 4688709173
Enrollment ID: I20100323000564

Medical Identifiers

Medical identifiers for Dr Kathleen R Wittberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144220641	NPI	-	NPPES
1139935	Other	OH	CIGNA
000000013668	Other	OH	ANTHEM DR WITTBERG
4328348	Other	OH	AETNA DR WITTBERG
0534265	Medicaid	OH
0122424	Other	OH	UHC DR WITTBERG

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35048051 (Ohio)	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 Kathleen R Wittberg allows following entities to bill medicare on her behalf.

Entity Name	Main Street Family Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093864035 PECOS PAC ID: 6002889706 Enrollment ID: O20040819000258

Entity Name	Five Rivers Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638

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 Kathleen R Wittberg 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 Kathleen R Wittberg, MD 9000 North Main St, Suite 403 Main Street Family Practice Inc, Dayton, OH 45415-1180 Ph: (937) 836-1572	Dr Kathleen R Wittberg, MD 9000 North Main St, Main Street Family Practice Inc Suite 403, Dayton, OH 45415-1180 Ph: (937) 836-5171

Reviews and Comments

Family Medicine Doctors in Dayton, OH

Dr. Derek Williamson Sherk, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3077 Kettering Blvd, Suite Number 319, Dayton, OH 45439 Phone: 937-293-2133
Dr. Barbara A Bennett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Troy Pike Ste 50, Dayton, OH 45424 Phone: 937-233-4252 Fax: 937-233-7605
Jeffrey R Millard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-208-8388
Dr. Teresa Zryd, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Dayton, OH 45435 Phone: 937-245-7200 Fax: 937-245-7922
Dr. Roger N Rizzardi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Woodman Dr, Dayton, OH 45432 Phone: 937-252-2000
Dr. Robert Randall Schaffer, M.D., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 Fax: 513-423-3309
Theresa Kern, MS,RN, AGCNS-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 Fax: 937-258-5478

Dr Kathleen R Wittberg, MD - Medicare Family Medicine in Dayton, OH