Bryan Wickens, MA is a
Rehabilitation Practitioner based in San Diego, California. Bryan Wickens is licensed to practice in * (Not Available) (license number ) and his current practice location is
545 Laurel St, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 233-4399.
NPI number for Bryan Wickens is 1336429257 and his current mailing address is 545 Laurel St, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336429257.
Healthcare Provider's Profile
Full Name | Bryan Wickens |
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Gender | Male |
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Speciality | Rehabilitation Practitioner |
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Location | 545 Laurel St, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336429257
- Provider Enumeration Date: 08/23/2011
- Last Update Date: 09/21/2023
Medical Identifiers
Medical identifiers for Bryan Wickens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336429257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Bryan Wickens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bryan Wickens, MA 545 Laurel St, San Diego, CA 92101-1634 Ph: (619) 233-4399 | Bryan Wickens, MA 545 Laurel St, San Diego, CA 92101-1634 Ph: (619) 233-4399 |
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