| Diane M Witek, MD | |
|
W225n16711 Cedar Park Ct, Jackson, WI 53037-9222 | |
| (262) 677-1101 | |
| (262) 306-2964 |
| Full Name | Diane M Witek |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | W225n16711 Cedar Park Ct, Jackson, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316157779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 52622 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Horizon Home Care And Hospice | Milwaukee, WI | Home health agency |
| Marquardt Hospice | Watertown, WI | Hospice |
| St Josephs Community Hospital West Bend | West bend, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1260 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane M Witek, MD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451 | Diane M Witek, MD W225n16711 Cedar Park Ct, Jackson, WI 53037-9222 Ph: (262) 677-1101 |
Samuel R Stevens, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W225n16711 Cedar Park Ct, Jackson, WI 53037 Phone: 262-677-1101 | |
Dr. Christina Marie Rutsch, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W225n16711 Cedar Park Ct, Jackson, WI 53037 Phone: 262-677-1101 |