Dr Marty P Witucki, PHD is a medicare enrolled "Psychologist - Clinical" provider in Gravette, Arkansas. His current practice location is
1101 Jackson St Sw, Gravette, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 787-5221.
Dr Marty P Witucki is licensed to practice in Arkansas (license number 16-22P) 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 1477587772.
Healthcare Provider's Profile
| Full Name | Dr Marty P Witucki |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1101 Jackson St Sw, Gravette, Arkansas |
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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 Marty P Witucki attended and graduated from in
NPI Data:
- NPI Number: 1477587772
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Marty P Witucki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477587772 | NPI | - | NPPES |
| 621823700 | Medicaid | MN | |
| 18115 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 263 (North Dakota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 16-22P (Arkansas) | Primary |
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 Marty P Witucki 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 Marty P Witucki, PHD
1101 Jackson St Sw,
Gravette, AR 72736-9121
Ph: (479) 787-5221 | Dr Marty P Witucki, PHD
1101 Jackson St Sw,
Gravette, AR 72736-9121
Ph: (479) 787-5221 |
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