Dr Mitchell L Wiatrak, MD is a medicare enrolled "Urology" physician in Glasgow, Kentucky. He went to University Of Michigan Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Urology. He is a member of the group practice T J Samson Community Hospital and his current practice location is
310 N L Rogers Wells Blvd, Glasgow, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 659-5965.
Dr Mitchell L Wiatrak is licensed to practice in Kentucky (license number 42456) 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 1114914900.
Physician's Profile
| Full Name | Dr Mitchell L Wiatrak |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 38 Years |
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| Location | 310 N L Rogers Wells Blvd, Glasgow, Kentucky |
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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 Mitchell L Wiatrak attended and graduated from University Of Michigan Medical School in 1986
NPI Data:
- NPI Number: 1114914900
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931114295
- Enrollment ID: I20090605000108
Medical Identifiers
Medical identifiers for Dr Mitchell L Wiatrak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114914900 | NPI | - | NPPES |
| 7100117860 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 42456 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| T J Samson Community Hospital | 0648182600 | 136 |
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 Mitchell L Wiatrak allows following entities to bill medicare on his behalf.
| Entity Name | T J Samson Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477609865
PECOS PAC ID: 0648182600
Enrollment ID: O20040318001777 |
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| Entity Name | Urology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043297542
PECOS PAC ID: 2961392931
Enrollment ID: O20040714000127 |
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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 Mitchell L Wiatrak 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 |
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Dr Mitchell L Wiatrak, MD
310 N L Rogers Wells Blvd,
Glasgow, KY 42141-1300
Ph: (270) 659-5965 | Dr Mitchell L Wiatrak, MD
310 N L Rogers Wells Blvd,
Glasgow, KY 42141-1300
Ph: (270) 659-5965 |
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