Dr Jack F Ditty Iii, MD - Medicare Emergency Medicine in Morgantown, WV

Dr Jack F Ditty Iii, MD is a medicare enrolled "Emergency Medicine" physician in Morgantown, West Virginia. His current practice location is 101 Stadium Drive, Morgantown, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 598-4000.

Dr Jack F Ditty Iii is licensed to practice in West Virginia (license number 21600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043390925.

Contact Information

Dr Jack F Ditty Iii, MD
101 Stadium Drive,
Morgantown, WV 26505
(304) 598-4000
(304) 293-6963



Physician's Profile

Full NameDr Jack F Ditty Iii
GenderMale
SpecialityEmergency Medicine
Location101 Stadium Drive, Morgantown, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043390925
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4880646488
  • Enrollment ID: I20110804000759

Medical Identifiers

Medical identifiers for Dr Jack F Ditty Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043390925NPI-NPPES
3810002302MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 21600 (West Virginia)Primary

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 Jack F Ditty Iii allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050415000720

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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 Jack F Ditty Iii 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 AddressPractice Location Address
Dr Jack F Ditty Iii, MD
P. O. Box 897,
Morgantown, WV 26507-0897

Ph: (304) 293-7401
Dr Jack F Ditty Iii, MD
101 Stadium Drive,
Morgantown, WV 26505

Ph: (304) 598-4000

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Emergency Medicine Doctors in Morgantown, WV

Dr. Nicole Lee Dorinzi, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: One Medical Center Drive, Po 9149, Morgantown, WV 26506
Phone: 304-216-0980    
Kevin J Blankenship, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 63 Wharf St, Suite 100, Morgantown, WV 26501
Phone: 304-291-3627    Fax: 304-598-3630
Dr. Joseph Michael Hartzog, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Venture Dr, Morgantown, WV 26508
Phone: 304-291-5533    Fax: 304-291-5548
Dr. Christopher Edwards, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 J D Anderson Dr, Morgantown, WV 26505
Phone: 304-598-1200    
Dr. John Harold Marsh, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 J D Anderson Dr, Emergency Department, Morgantown, WV 26505
Phone: 304-598-1200    
Matthew Kersteter, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Drive, Po 9149, Morgantown, WV 26506
Phone: 304-293-7215    Fax: 304-293-6702

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