Sandy Witzling, MD is a medicare enrolled "Surgery" physician in Maywood, California. His current practice location is
3632 Slauson Ave, Maywood, California. You can reach out to his office (for appointments etc.) via phone at
(323) 560-4373.
Sandy Witzling is licensed to practice in California (license number A30242) 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 1972539179.
Physician's Profile
Full Name | Sandy Witzling |
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Gender | Male |
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Speciality | Surgery |
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Location | 3632 Slauson Ave, Maywood, California |
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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: 1972539179
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779663729
- Enrollment ID: I20080103000625
Medical Identifiers
Medical identifiers for Sandy Witzling such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972539179 | NPI | - | NPPES |
00A302420 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | A30242 (California) | 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. Sandy Witzling allows following entities to bill medicare on his behalf.
Entity Name | Jonathan Nguyen Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144864992 PECOS PAC ID: 7214364587 Enrollment ID: O20200226001155 |
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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. Sandy Witzling 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 |
Sandy Witzling, MD Po Box 7645, Long Beach, CA 90807-0645 Ph: (562) 619-2411 | Sandy Witzling, MD 3632 Slauson Ave, Maywood, CA 90270-2632 Ph: (323) 560-4373 |
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