Dr Justin Edward Wittkopf, MD is a medicare enrolled "Otolaryngology" physician in Vernon Hills, Illinois. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Advanced Ear Nose And Throat Specialists Pllc and his current practice location is
925 N Milwaukee Ave Unit 200, Vernon Hills, Illinois. You can reach out to his office (for appointments etc.) via phone at
(414) 771-6780.
Dr Justin Edward Wittkopf is licensed to practice in Illinois (license number 036-123362) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043460850.
Physician's Profile
| Full Name | Dr Justin Edward Wittkopf |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 22 Years |
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| Location | 925 N Milwaukee Ave Unit 200, Vernon Hills, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Justin Edward Wittkopf attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2002
NPI Data:
- NPI Number: 1043460850
- Provider Enumeration Date: 09/29/2008
- Last Update Date: 07/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264585603
- Enrollment ID: I20090731000506
Medical Identifiers
Medical identifiers for Dr Justin Edward Wittkopf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043460850 | NPI | - | NPPES |
| 1275521288 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0901X | Otolaryngology - Otology & Neurotology | 036123362 (Illinois) | Secondary |
| 207Y00000X | Otolaryngology | 036-123362 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Ear Nose And Throat Specialists Pllc | 0143657197 | 20 |
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 Justin Edward Wittkopf allows following entities to bill medicare on his behalf.
| Entity Name | Roman J. Dykun, Md |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407944325
PECOS PAC ID: 7416997036
Enrollment ID: O20050503001047 |
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| Entity Name | Advanced Ear Nose & Throat Specialists Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184281735
PECOS PAC ID: 0143657197
Enrollment ID: O20200304000062 |
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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 Justin Edward Wittkopf 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 Justin Edward Wittkopf, MD
10001 W Innovation Dr Ste 200,
Wauwatosa, WI 53226-4851
Ph: (414) 771-6780 | Dr Justin Edward Wittkopf, MD
925 N Milwaukee Ave Unit 200,
Vernon Hills, IL 60061-1637
Ph: (414) 771-6780 |
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