Jacob Willis Witmer, - Medicare Emergency Medicine in Oklahoma City, OK

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Jacob Willis Witmer, is a medicare enrolled "Emergency Medicine" physician in Oklahoma City, Oklahoma. His current practice location is 4401 S Western Ave, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (305) 636-7195.

Jacob Willis Witmer is licensed to practice in Oklahoma (license number 6804) 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 1619473972.

Contact Information

Jacob Willis Witmer,
4401 S Western Ave,
Oklahoma City, OK 73109-3413
(305) 636-7195
Not Available

Map and Direction




Physician's Profile

Full NameJacob Willis Witmer
GenderMale
SpecialityEmergency Medicine
Location4401 S Western Ave, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619473972
  • Provider Enumeration Date: 04/04/2018
  • Last Update Date: 06/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284963513
  • Enrollment ID: I20190911001299

Medical Identifiers

Medical identifiers for Jacob Willis Witmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619473972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 6804 (Oklahoma)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. Jacob Willis Witmer allows following entities to bill medicare on his behalf.
Entity NameNorman Regional Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912563727
PECOS PAC ID: 2769395185
Enrollment ID: O20031111000299
Entity NameGrady Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750370268
PECOS PAC ID: 0648175778
Enrollment ID: O20031203000193
Entity NameFarmers Union Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184639122
PECOS PAC ID: 7517949415
Enrollment ID: O20040603001383
Entity NameEmergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477590974
PECOS PAC ID: 9830001650
Enrollment ID: O20050207000313
Entity NameMercy Clinic Oklahoma Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755
Entity NameEmergency Services Of Oklahoma Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215249891
PECOS PAC ID: 8123209012
Enrollment ID: O20110225000085
Entity NameSouth Central Emergency Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558663724
PECOS PAC ID: 8224212949
Enrollment ID: O20110405000201
Entity NameMercy Hospital Logan County, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306126818
PECOS PAC ID: 4587836200
Enrollment ID: O20121004000289
Entity NameMercy Hospital Watonga Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1497017529
PECOS PAC ID: 6305002759
Enrollment ID: O20140110000184
Entity NameMercy Hospital Kingfisher, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1285064618
PECOS PAC ID: 5395970180
Enrollment ID: O20140416000368
Entity NameEmergency Physicians Of Mid-america Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063825297
PECOS PAC ID: 2062638661
Enrollment ID: O20140716001692

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. Jacob Willis Witmer 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 AddressPractice Location Address
Jacob Willis Witmer,
3301 Austrian Pine Ln,
Yukon, OK 73099-3008

Ph: () -		Jacob Willis Witmer,
4401 S Western Ave,
Oklahoma City, OK 73109-3413

Ph: (305) 636-7195

Reviews and Comments


Emergency Medicine Doctors in Oklahoma City, OK

Dr. Hunter Dale Cook, D.O
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109
Phone: 405-636-7709    
Alejandro Anzaldua, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 900 Ne 10th St, Fmc 2102, Oklahoma City, OK 73104
Phone: 405-271-2230    
Dr. Diana Dee Mills-maloney, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10312 Creek Meadow Dr, Oklahoma City, OK 73151
Phone: 405-771-3577    
Dr. David Brennan, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109
Phone: 405-636-7000    
Dr. David M. Abercrombie, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1624 Grey Fox Run, Oklahoma City, OK 73131
Phone: 405-478-3969    Fax: 405-478-3815
Dr. Amy L. Sparkman, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 940 Ne 13th St, Oklahoma City, OK 73104
Phone: 405-271-2429    
Robert D Crane, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120
Phone: 405-752-3715    Fax: 405-936-5058

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.