Stanley Jan Witnov, PHD in Santa Barbara, CA - Medicare Psychologist Provider

Stanley Jan Witnov, PHD is a medicare enrolled "Psychologist" provider in Santa Barbara, California. His current practice location is 214 Via Sevilla, Santa Barbara, California. You can reach out to his office (for appointments etc.) via phone at (805) 966-7729.

Stanley Jan Witnov is licensed to practice in California (license number PSY # 9369) 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 1164578498.

Contact Information

	Stanley Jan Witnov, PHD
	214 Via Sevilla, Santa Barbara, CA 93109-1836
	(805) 966-7729
	Not Available

Healthcare Provider's Profile

Full Name	Stanley Jan Witnov
Gender	Male
Speciality	Psychologist
Location	214 Via Sevilla, Santa Barbara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164578498
Provider Enumeration Date: 01/27/2007
Last Update Date: 10/19/2012

Medicare PECOS Information:

PECOS PAC ID: 3072838556
Enrollment ID: I20150203001895

Medical Identifiers

Medical identifiers for Stanley Jan Witnov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164578498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY # 9369 (California)	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. Stanley Jan Witnov 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
Stanley Jan Witnov, PHD 2312 Edgewater Way, Santa Barbara, CA 93109-1923 Ph: (805) 966-7729	Stanley Jan Witnov, PHD 214 Via Sevilla, Santa Barbara, CA 93109-1836 Ph: (805) 966-7729

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Stanley Jan Witnov, PHD - Medicare Psychologist in Santa Barbara, CA