Kristen N Witham, DO is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Mount Vernon, Ohio. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Knox Community Hospital and her current practice location is
1330 Coshocton Ave, Mount Vernon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 393-9000.
Kristen N Witham is licensed to practice in Ohio (license number 34.012397) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720353428.
Physician's Profile
Full Name | Kristen N Witham |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 12 Years |
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Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kristen N Witham attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012
NPI Data:
- NPI Number: 1720353428
- Provider Enumeration Date: 03/13/2012
- Last Update Date: 06/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688952229
- Enrollment ID: I20161101002795
Medical Identifiers
Medical identifiers for Kristen N Witham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720353428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | 58004610 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 34.012397 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Knox Community Hospital | 1153301833 | 104 |
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. Kristen N Witham allows following entities to bill medicare on her behalf.
Entity Name | Knox Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
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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. Kristen N 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 |
Kristen N Witham, DO 1330 Coshocton Ave, Mount Vernon, OH 43050 Ph: (740) 393-9000 | Kristen N Witham, DO 1330 Coshocton Ave, Mount Vernon, OH 43050 Ph: (740) 393-9000 |
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