Jessica Rae Witt, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Ann Arbor, Michigan. Her current practice location is
1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 615-0199.
Jessica Rae Witt is licensed to practice in Michigan (license number 4351049097) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043686967.
Provider's Profile
Full Name | Jessica Rae Witt |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1500 E Medical Center Drive, Ann Arbor, Michigan |
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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: 1043686967
- Provider Enumeration Date: 08/14/2015
- Last Update Date: 05/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012225576
- Enrollment ID: I20220611000368
Medical Identifiers
Medical identifiers for Jessica Rae Witt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043686967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 6561-33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 173937-30 (Wisconsin) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 4351049097 (Michigan) | 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. Jessica Rae Witt 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 |
Jessica Rae Witt, 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 Ph: () - | Jessica Rae Witt, 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 Ph: (734) 615-0199 |
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