Dr John Edwin Witcher, MD is a medicare enrolled "Emergency Medicine" physician in Sebastopol, Mississippi. His current practice location is
1488 Hwy 487, Sebastopol Clinic, Sebastopol, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 625-7403.
Dr John Edwin Witcher is licensed to practice in Mississippi (license number 14977) 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 1932135522.
Physician's Profile
Full Name | Dr John Edwin Witcher |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1488 Hwy 487, Sebastopol, Mississippi |
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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: 1932135522
- Provider Enumeration Date: 06/24/2006
- Last Update Date: 11/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416926019
- Enrollment ID: I20040930000241
Medical Identifiers
Medical identifiers for Dr John Edwin Witcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932135522 | NPI | - | NPPES |
00126975 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 14977 (Mississippi) | Secondary |
208D00000X | General Practice | 14977 (Mississippi) | Secondary |
208M00000X | Hospitalist | 14977 (Mississippi) | Secondary |
207P00000X | Emergency Medicine | 14977 (Mississippi) | 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. Dr John Edwin Witcher allows following entities to bill medicare on his behalf.
Entity Name | Sharkey Issaquena Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013004795 PECOS PAC ID: 1759283039 Enrollment ID: O20040126000869 |
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Entity Name | Keystone Medical Services Of Ms Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
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Entity Name | Yazoo Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447806914 PECOS PAC ID: 0749511574 Enrollment ID: O20191009002380 |
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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 John Edwin Witcher 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 John Edwin Witcher, MD Po Box 142, East Central Ms Health Care Inc, Sebastopol, MS 39359 Ph: (601) 625-7140 | Dr John Edwin Witcher, MD 1488 Hwy 487, Sebastopol Clinic, Sebastopol, MS 39359 Ph: (601) 625-7403 |
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