Mark D Wittry, MD is a medicare enrolled "Nuclear Medicine" physician in Saint Louis, Missouri. His current practice location is
615 S New Ballas Rd, Dept Of Nuclear Medicine, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 251-6465.
Mark D Wittry is licensed to practice in Missouri (license number R5F02) 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 1497721088.
Physician's Profile
| Full Name | Mark D Wittry |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 615 S New Ballas Rd, Saint Louis, Missouri |
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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:
- Mark D Wittry attended and graduated from in
NPI Data:
- NPI Number: 1497721088
- Provider Enumeration Date: 02/24/2006
- Last Update Date: 02/22/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark D Wittry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497721088 | NPI | - | NPPES |
| 202885919 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R5F02 (Missouri) | Secondary |
| 207U00000X | Nuclear Medicine | R5F02 (Missouri) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | R5F02 (Missouri) | Secondary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | R5F02 (Missouri) | Secondary |
| 207U00000X | Nuclear Medicine | 036069181 (Illinois) | Secondary |
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. Mark D Wittry 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 |
|---|
Mark D Wittry, MD
11475 Olde Cabin Rd, Suite 200,
Saint Louis, MO 63141-7128
Ph: (314) 991-8200 | Mark D Wittry, MD
615 S New Ballas Rd, Dept Of Nuclear Medicine,
Saint Louis, MO 63141-8221
Ph: (314) 251-6465 |
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