Mr Zachary Joesph Witges, AGNP in Alton, IL - Medicare Nurse Practitioner

Mr Zachary Joesph Witges, AGNP is a medicare enrolled "Nurse Practitioner" in Alton, Illinois. His current practice location is 4 Memorial Dr Ste 230, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 463-7874.

Mr Zachary Joesph Witges is licensed to practice in Illinois (license number 209029825) 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 1801639596.

Contact Information

	Mr Zachary Joesph Witges, AGNP
	4 Memorial Dr Ste 230, Alton, IL 62002-6704
	(618) 463-7874
	(314) 996-7658

Map and Direction

Provider's Profile

Full Name	Mr Zachary Joesph Witges
Gender	Male
Speciality	Nurse Practitioner
Location	4 Memorial Dr Ste 230, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801639596
Provider Enumeration Date: 06/18/2024
Last Update Date: 01/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3971035528
Enrollment ID: I20241021002024

Medical Identifiers

Medical identifiers for Mr Zachary Joesph Witges such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801639596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2024043178 (Missouri)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	209.029825 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209029825 (Illinois)	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. Mr Zachary Joesph Witges allows following entities to bill medicare on his behalf.

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650

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 Zachary Joesph Witges 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
Mr Zachary Joesph Witges, AGNP Po Box 959203, Saint Louis, MO 63195-8512 Ph: (618) 234-2390	Mr Zachary Joesph Witges, AGNP 4 Memorial Dr Ste 230, Alton, IL 62002-6704 Ph: (618) 463-7874

Reviews and Comments

Nurse Practitioner Nurses in Alton, IL

Mrs. Misty D Biciocchi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002 Phone: 618-607-1340 Fax: 618-622-9724
Lee A Tardino, MSN ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935
Jodi R Lutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Washington Ave, Alton, IL 62002 Phone: 314-687-2735
Lindsey Nicole Erickson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 314-953-8799 Fax: 314-953-8798
Laura L Brandenburg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002 Phone: 618-463-7777 Fax: 618-463-7767
Kelsey M Beard, FNP-BC, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5035
Anissa Fay Washington, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7300

Mr Zachary Joesph Witges, AGNP - Medicare Nurse Practitioner in Alton, IL