Dr Tawa M Witko, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mclaughlin, South Dakota. Her current practice location is
701 E 6th St, Mclaughlin Clinic, Mclaughlin, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 823-4458.
Dr Tawa M Witko is licensed to practice in South Dakota (license number 456) 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 1144380866.
Healthcare Provider's Profile
| Full Name | Dr Tawa M Witko |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 701 E 6th St, Mclaughlin, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144380866
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 01/27/2011
Medicare PECOS Information:
- PECOS PAC ID: 2365488541
- Enrollment ID: I20120831000476
Medical Identifiers
Medical identifiers for Dr Tawa M Witko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144380866 | NPI | - | NPPES |
| 246779 | Other | | AETNA |
| 246779 | Other | | MIDLANDS CHOICE |
| 456 | Other | | DAKOTA CARE |
| DB3096 | Other | | UNITED HEALTHCARE |
| 14283 | Other | | AVERA HEALTH PLAN |
| 6552242 | Medicaid | SD | |
| 246779 | Other | | CIGNA |
| 4994787 | Other | | BLUE CROSS |
| 10025457300 | Other | | NEBRASKA MEDICAID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 456 (South Dakota) | 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. Dr Tawa M Witko allows following entities to bill medicare on her behalf.
| Entity Name | Fort Yates Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609851039
PECOS PAC ID: 3678462744
Enrollment ID: O20040315001479 |
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| Entity Name | Fort Yates Indian Health Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710037288
PECOS PAC ID: 9032287008
Enrollment ID: O20090116000441 |
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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. Dr Tawa M Witko 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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Dr Tawa M Witko, PSYD
Po Box 879, Mclaughlin Clinic,
Mc Laughlin, SD 57642-0879
Ph: (605) 823-4458 | Dr Tawa M Witko, PSYD
701 E 6th St, Mclaughlin Clinic,
Mclaughlin, SD 57642
Ph: (605) 823-4458 |
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