Jeffrey L Witt, MD | |
280 Commercial St, Roanoke, IN 46783-1045 | |
(260) 672-9285 | |
(260) 672-3537 |
Full Name | Jeffrey L Witt |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 280 Commercial St, Roanoke, Indiana |
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 |
---|---|---|---|
1073523098 | NPI | - | NPPES |
100257170 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01035243A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 30 |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | Fort Wayne Medical Education Program |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184635153 PECOS PAC ID: 2860387933 Enrollment ID: O20040218000034 |
Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey L Witt, MD 7230 Engle Road, Fort Wayne, IN 46804-2209 Ph: (260) 234-5400 | Jeffrey L Witt, MD 280 Commercial St, Roanoke, IN 46783-1045 Ph: (260) 672-9285 |
Theppanya Ka Keolasy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 577 Geiger Dr Ste C, Roanoke, IN 46783 Phone: 260-672-5950 Fax: 260-672-0939 | |
Dr. Amy H Welker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 577 Geiger Dr, Suite C, Roanoke, IN 46783 Phone: 260-672-5950 Fax: 260-672-0939 | |
Garrett H Bastin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 10101 Ernst Rd Ste 1200, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-234-5410 | |
Joel Jose C Valcarcel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-234-5410 |