Shane Michael Wittman, - Medicare Physician Assistant in Allentown, PA

Shane Michael Wittman, is a medicare enrolled "Physician Assistant" in Allentown, Pennsylvania. His current practice location is 1311 Byfield St, Allentown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 849-6752.

Shane Michael Wittman is licensed to practice in Pennsylvania (license number AA0004064083) 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 1164147724.

Contact Information

Shane Michael Wittman,
1311 Byfield St,
Allentown, PA 18103-4205
(610) 849-6752
Not Available



Provider's Profile

Full NameShane Michael Wittman
GenderMale
SpecialityPhysician Assistant
Location1311 Byfield St, Allentown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164147724
  • Provider Enumeration Date: 10/06/2022
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385008143
  • Enrollment ID: I20230912002446

Medical Identifiers

Medical identifiers for Shane Michael Wittman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164147724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant AA0004064083 (Pennsylvania)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. Shane Michael Wittman 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
Shane Michael Wittman,
1311 Byfield St,
Allentown, PA 18103-4205

Ph: (610) 849-6752
Shane Michael Wittman,
1311 Byfield St,
Allentown, PA 18103-4205

Ph: (610) 849-6752

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Practice Location: 1255 S Cedar Crest Blvd, Suite 2100, Allentown, PA 18103
Phone: 610-402-3560    Fax: 610-402-3355

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