Dexter D Dewitt, MD is a
Pediatrics physician based in Payson, Arizona. Dexter D Dewitt is licensed to practice in Arizona (license number 6525) and his current practice location is 126 E Main St, Suite B, Payson, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 468-5437.
NPI number for Dexter D Dewitt is 1093714834 and his current mailing address is 7100 Commerce Way, Suite 180, Brentwood, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093714834.
Physician's Profile
| Full Name | Dexter D Dewitt |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
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| Location | 126 E Main St, Payson, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093714834
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 12/06/2007
Medical Identifiers
Medical identifiers for Dexter D Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093714834 | NPI | - | NPPES |
| 0017101703 | Medicaid | AZ | |
| AZ0851710 | Other | AZ | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 6525 (Arizona) | 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. Dexter D Dewitt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dexter D Dewitt, MD 7100 Commerce Way, Suite 180, Brentwood, TN 37027-2829 Ph: (615) 465-7000 | Dexter D Dewitt, MD 126 E Main St, Suite B, Payson, AZ 85541-5488 Ph: (928) 468-5437 |
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