Dr Debra S Wickman, MD | |
15810 S 45th St Ste 105, Phoenix, AZ 85048-7695 | |
(480) 827-5390 | |
(602) 521-5701 |
Full Name | Dr Debra S Wickman |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 15810 S 45th St Ste 105, Phoenix, Arizona |
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 |
---|---|---|---|
1407943939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 26444 (Arizona) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 26444 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner - University Physician Specialists Llc | 5991008054 | 241 |
Entity Name | Banner Physician Specialists Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
Entity Name | Banner - University Physician Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
Mailing Address | Practice Location Address |
---|---|
Dr Debra S Wickman, MD 15810 S 45th St Ste 105, Phoenix, AZ 85048-7695 Ph: (480) 827-5390 | Dr Debra S Wickman, MD 15810 S 45th St Ste 105, Phoenix, AZ 85048-7695 Ph: (480) 827-5390 |
Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619 | |
Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065 | |
Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766 | |
Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823 |