Bonnie Leigh Wickwire, DC / ND is a medicare enrolled "Naturopath" provider in Enterprise, Oregon. Her current practice location is
507 S River St, Enterprise, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 426-4502.
Bonnie Leigh Wickwire is licensed to practice in Oregon (license number 0862) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689607822.
Healthcare Provider's Profile
| Full Name | Bonnie Leigh Wickwire |
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| Gender | Female |
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| Speciality | Naturopath |
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| Location | 507 S River St, Enterprise, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689607822
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 04/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4880733658
- Enrollment ID: I20091208000462
Medical Identifiers
Medical identifiers for Bonnie Leigh Wickwire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689607822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2277 (Oregon) | Secondary |
| 175F00000X | Naturopath | 0862 (Oregon) | 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. Bonnie Leigh Wickwire allows following entities to bill medicare on her behalf.
| Provider Name | Winding Waters Medical Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922475219
PECOS PAC ID: 8224346713
Enrollment ID: O20160113000362 |
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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. Bonnie Leigh Wickwire 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 |
|---|
Bonnie Leigh Wickwire, DC / ND
603 Medical Pkwy,
Enterprise, OR 97828-5124
Ph: (541) 426-4502 | Bonnie Leigh Wickwire, DC / ND
507 S River St,
Enterprise, OR 97828-1601
Ph: (541) 426-4502 |
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