Danielle Anette Wickman, MD | |
1225 Wilshire Blvd, Los Angeles, CA 90017-1901 | |
(213) 977-2121 | |
Not Available |
Full Name | Danielle Anette Wickman |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 8 Years |
Location | 1225 Wilshire Blvd, Los Angeles, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962865063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A151112 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Temecula Valley Hospital | Temecula, CA | Hospital |
Kaiser Foundation Hospital - Zion | San diego, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Usc Care Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Entity Name | Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619153251 PECOS PAC ID: 7214086321 Enrollment ID: O20090520000375 |
Entity Name | Temecula Valley Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407281223 PECOS PAC ID: 2769619097 Enrollment ID: O20131212000952 |
Entity Name | Chula Vista Emergency Room Physicians A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780021782 PECOS PAC ID: 5092943779 Enrollment ID: O20140103000393 |
Mailing Address | Practice Location Address |
---|---|
Danielle Anette Wickman, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (213) 977-2121 | Danielle Anette Wickman, MD 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 Ph: (213) 977-2121 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585 |