Tod Wickersham, FNLP, CFNC, OM is a
Health & Wellness Coach based in Verona, Wisconsin. Tod Wickersham is licensed to practice in * (Not Available) (license number ) and his current practice location is
9206 Ashworth Dr, Verona, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(202) 322-2267.
NPI number for Tod Wickersham is 1194465104 and his current mailing address is 9206 Ashworth Dr, Verona, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194465104.
Healthcare Provider's Profile
| Full Name | Tod Wickersham |
|---|
| Gender | Male |
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| Speciality | Health & Wellness Coach |
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| Location | 9206 Ashworth Dr, Verona, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194465104
- Provider Enumeration Date: 03/29/2022
- Last Update Date: 03/29/2022
Medical Identifiers
Medical identifiers for Tod Wickersham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194465104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (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. Tod Wickersham 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 |
|---|
Tod Wickersham, FNLP, CFNC, OM
9206 Ashworth Dr,
Verona, WI 53593-9196
Ph: (202) 322-2267 | Tod Wickersham, FNLP, CFNC, OM
9206 Ashworth Dr,
Verona, WI 53593-9196
Ph: (202) 322-2267 |
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