Terence Leigh Witham, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Brooklyn, Ohio. He went to University Of North Dakota School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Ohioguidestone and his current practice location is
7575 Northcliff Ave, Suite 201, Brooklyn, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 661-4577.
Terence Leigh Witham is licensed to practice in Ohio (license number 35-081587) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417933755.
Physician's Profile
| Full Name | Terence Leigh Witham |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 28 Years |
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| Location | 7575 Northcliff Ave, Brooklyn, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Terence Leigh Witham attended and graduated from University Of North Dakota School Of Medicine in 1996
NPI Data:
- NPI Number: 1417933755
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 08/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123177466
- Enrollment ID: I20090518000036
Medical Identifiers
Medical identifiers for Terence Leigh Witham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417933755 | NPI | - | NPPES |
| 0256582 | Medicaid | OH | |
| 2350147 | Medicaid | OH | |
| 000000241215 | Other | OH | ANTHEM PIN |
| 260051953 | Other | OH | RAILROAD MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35-081587 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ohioguidestone | 5597910935 | 40 |
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. Terence Leigh Witham allows following entities to bill medicare on his behalf.
| Entity Name | Ohioguidestone |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507 |
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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. Terence Leigh 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 |
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Terence Leigh Witham, MD
7575 Northcliff Ave, Suite 201,
Brooklyn, OH 44144-3267
Ph: (216) 661-4577 | Terence Leigh Witham, MD
7575 Northcliff Ave, Suite 201,
Brooklyn, OH 44144-3267
Ph: (216) 661-4577 |
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