Dr Alex Michael Witcher, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carterville, Illinois. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice The Curators Of The University Of Missouri and his current practice location is
307 Pennsylvania Ave, Carterville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(256) 339-2637.
Dr Alex Michael Witcher is licensed to practice in Missouri (license number 2023043288) 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 1457879330.
Provider's Profile
| Full Name | Dr Alex Michael Witcher |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 9 Years |
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| Location | 307 Pennsylvania Ave, Carterville, 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 Alex Michael Witcher graduated from nursing school in 2017
NPI Data:
- NPI Number: 1457879330
- Provider Enumeration Date: 08/31/2017
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739446279
- Enrollment ID: I20240329001153
Medical Identifiers
Medical identifiers for Dr Alex Michael Witcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457879330 | NPI | - | NPPES |
| 114630 | Other | | NBCRNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 041.453211 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 114630 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2023043288 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Curators Of The University Of Missouri | 4486759560 | 1035 |
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 Alex Michael Witcher allows following entities to bill medicare on his behalf.
| Entity Name | The Curators Of The University Of Missouri |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235126921
PECOS PAC ID: 4486759560
Enrollment ID: O20070418000290 |
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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 Alex Michael Witcher 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 |
|---|
Dr Alex Michael Witcher, DNP, CRNA
307 Pennsylvania Ave,
Carterville, IL 62918
Ph: (256) 339-2637 | Dr Alex Michael Witcher, DNP, CRNA
307 Pennsylvania Ave,
Carterville, IL 62918
Ph: (256) 339-2637 |
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