Daren J Wickum, MD | |
3580 Arcade St, Vadnais Heights, MN 55127-7135 | |
(651) 968-5770 | |
(651) 968-5775 |
Full Name | Daren J Wickum |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 24 Years |
Location | 3580 Arcade St, Vadnais Heights, Minnesota |
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 |
---|---|---|---|
1073587606 | NPI | - | NPPES |
427973500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 44501 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
Healtheast St John's Hospital | Maplewood, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Orthopedics Ltd | 8921900374 | 237 |
Summit Orthopedics Ltd | 8921900374 | 237 |
Entity Name | Summit Orthopedics Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306899463 PECOS PAC ID: 8921900374 Enrollment ID: O20040126000035 |
Mailing Address | Practice Location Address |
---|---|
Daren J Wickum, MD 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: (651) 968-5042 | Daren J Wickum, MD 3580 Arcade St, Vadnais Heights, MN 55127-7135 Ph: (651) 968-5770 |
Edward T Su, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Jonathan Biebl, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Daniel Hoeffel, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
James Timothy Young, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Lauren Lee Smith, Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 3580 Arcade St Ste 200, Vadnais Heights, MN 55127 Phone: 651-968-5201 | |
Dr. Steven Demetrious Meletiou, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 61 N, Vadnais Heights, MN 55110 Phone: 651-439-8807 Fax: 651-439-0232 |