Dr Peter H Witham, MD is a medicare enrolled "Internal Medicine" physician in Southwest Harbor, Maine. His current practice location is
16 Community Ln, Southwest Harbor, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 244-5630.
Dr Peter H Witham is licensed to practice in Maine (license number MD19832) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417043639.
Physician's Profile
| Full Name | Dr Peter H Witham |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 16 Community Ln, Southwest Harbor, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417043639
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 08/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850464801
- Enrollment ID: I20131010001226
Medical Identifiers
Medical identifiers for Dr Peter H Witham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417043639 | NPI | - | NPPES |
| OVN2345 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD19832 (Maine) | Primary |
| 207R00000X | Internal Medicine | 0420010126 (Vermont) | Secondary |
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 Peter H Witham allows following entities to bill medicare on his behalf.
| Entity Name | Mount Desert Island Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790764512
PECOS PAC ID: 0941250963
Enrollment ID: O20050127000611 |
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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 Peter H Witham 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 Peter H Witham, MD
50 Union Street,
Ellsworth, ME 04605
Ph: (207) 664-7780 | Dr Peter H Witham, MD
16 Community Ln,
Southwest Harbor, ME 04679-4273
Ph: (207) 244-5630 |
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