Brian D Wickham, M D | |
1819 Denver West Dr, Suite 200, Golden, CO 80401-3118 | |
(303) 422-9438 | |
(303) 422-9474 |
Full Name | Brian D Wickham |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 21 Years |
Location | 1819 Denver West Dr, Golden, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932321353 | NPI | - | NPPES |
45123 | Other | CO | COLORADO STATE LICENSE |
86706802 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 45123 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Medical Center | Wheat ridge, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Anesthesia Services Pc | 7517947146 | 37 |
Entity Name | Physician Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861476590 PECOS PAC ID: 7517947146 Enrollment ID: O20040723000048 |
Mailing Address | Practice Location Address |
---|---|
Brian D Wickham, M D Po Box 668, Arvada, CO 80001-0668 Ph: (303) 422-9438 | Brian D Wickham, M D 1819 Denver West Dr, Suite 200, Golden, CO 80401-3118 Ph: (303) 422-9438 |
Lynn R White, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Craig Richard Davis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1819 Dever West Dr. Bldg 26 Suite 106, Golden, CO 80401 Phone: 303-422-9438 | |
Martin Harrison, M D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Kathleen Donelan Fedack, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Ste 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Joseph Pruitt, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1216 Preserve Cir, Golden, CO 80401 Phone: 720-746-1846 Fax: 720-746-1848 | |
Wendy L Lawler, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Ste 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 | |
Steven J Caputo, M D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1819 Denver West Dr, Suite 200, Golden, CO 80401 Phone: 303-422-9438 Fax: 303-422-9474 |