John Price Witwer, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Evergreen, Colorado. His current practice location is
3111 Interlocken Dr, Evergreen, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 674-0219.
John Price Witwer is licensed to practice in Colorado (license number 17813) 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 1790022853.
Physician's Profile
Full Name | John Price Witwer |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 3111 Interlocken Dr, Evergreen, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790022853
- Provider Enumeration Date: 01/09/2013
- Last Update Date: 01/09/2013
Medicare PECOS Information:
- PECOS PAC ID: 0143545319
- Enrollment ID: I20150210001233
Medical Identifiers
Medical identifiers for John Price Witwer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790022853 | NPI | - | NPPES |
17813 | Other | CO | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 17813 (Colorado) | Primary |
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. John Price Witwer 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 |
John Price Witwer, MD Po Box 2167, Evergreen, CO 80437-2167 Ph: (303) 674-0219 | John Price Witwer, MD 3111 Interlocken Dr, Evergreen, CO 80439-8846 Ph: (303) 674-0219 |
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