Mr Gary Mitkowski, RPAC is a
Emergency Medicine physician based in Walton, New York. Mr Gary Mitkowski is licensed to practice in New York (license number 007054) and his current practice location is 1 Titus Place, Walton, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 865-2188.
NPI number for Mr Gary Mitkowski is 1790852531 and his current mailing address is 1 Titus Place, Walton, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790852531.
Physician's Profile
| Full Name | Mr Gary Mitkowski |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1 Titus Place, Walton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790852531
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Gary Mitkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790852531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 007054 (New York) | 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. Mr Gary Mitkowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Gary Mitkowski, RPAC
1 Titus Place,
Walton, NY 13856
Ph: (607) 865-2188 | Mr Gary Mitkowski, RPAC
1 Titus Place,
Walton, NY 13856
Ph: (607) 865-2188 |
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