| Charles N Witten, MD | |
|
4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 | |
| (407) 332-7700 | |
| (321) 275-0339 |
| Full Name | Charles N Witten |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 4106 W Lake Mary Blvd Ste 215, Lake Mary, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376518431 | NPI | - | NPPES |
| 10292 | Other | FL | BCBS |
| 063246500 | Medicaid | FL | |
| 340003010 | Other | FL | MDCR RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME0057403 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health | Orlando, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Adventhealth Deland | Deland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles N Witten, MD 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 Ph: (407) 332-7700 | Charles N Witten, MD 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746-3344 Ph: (407) 332-7700 |
Dr. Marvin Jason Young, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1071 S Sun Dr, Suite 1003, Lake Mary, FL 32746 Phone: 407-302-2620 Fax: 407-302-2690 | |
Dr. Michael D Friedman, MD Urology Medicare: Medicare Enrolled Practice Location: 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746 Phone: 407-332-7700 Fax: 321-275-0344 | |
Ravindra R Jahagirdar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 101 N 8th St, Lake Mary, FL 32746 Phone: 407-330-1100 Fax: 407-321-8820 | |
David S Ali, Urology Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 215, Lake Mary, FL 32746 Phone: 407-332-7700 Fax: 407-332-9749 |