Wisam A Witwit, MD in Palm Coast, FL

Wisam A Witwit, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Palm Coast, Florida. His current practice location is 60 Memorial Medical Pkwy, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 586-2000.

Wisam A Witwit is licensed to practice in Florida (license number ME155790) 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 1750733614.

Contact Information

	Wisam A Witwit, MD
	60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
	(386) 586-2000
	(317) 705-5047

Map and Direction

Physician's Profile

Full Name	Wisam A Witwit
Gender	Male
Speciality	Radiology - Neuroradiology
Location	60 Memorial Medical Pkwy, Palm Coast, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750733614
Provider Enumeration Date: 07/04/2016
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 4981981826
Enrollment ID: I20220809003514

Medical Identifiers

Medical identifiers for Wisam A Witwit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750733614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301110641 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085N0700X	Radiology - Neuroradiology	ME155790 (Florida)	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. Wisam A Witwit allows following entities to bill medicare on his behalf.

Entity Name	Florida Radiology Imaging At Lake Mary Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20040721001414

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073785044 PECOS PAC ID: 0042383200 Enrollment ID: O20080721000717

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. Wisam A Witwit 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
Wisam A Witwit, MD 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 Ph: (386) 586-2000	Wisam A Witwit, MD 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 Ph: (386) 586-2000

Reviews and Comments

Radiology Doctors in Palm Coast, FL

Paul Peter Harkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047
Kasra R Badiozamani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2060
Nevine Hanna, Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047
Dr. Muhammad Noor, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047
Dr. Vinay Pai, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047
Dr. Andre Stephen Prince, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000
Nadeen Karim Abu Ata, M.D Radiology Medicare: Medicare Enrolled Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000 Fax: 317-705-5047

Wisam A Witwit, MD - Medicare Radiology in Palm Coast, FL