Dr Deirdre A Wickham, DO is a
Obstetrics & Gynecology physician based in Elk Rapids, Michigan. Dr Deirdre A Wickham is licensed to practice in Michigan (license number 5101010025) and her current practice location is 304 1st St, Elk Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 921-0901.
NPI number for Dr Deirdre A Wickham is 1740228279 and her current mailing address is 304 1st St, Elk Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740228279.
Physician's Profile
| Full Name | Dr Deirdre A Wickham |
|---|
| Gender | Female |
|---|
| Speciality | Obstetrics & Gynecology |
|---|
| Location | 304 1st St, Elk Rapids, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740228279
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 01/02/2024
Medical Identifiers
Medical identifiers for Dr Deirdre A Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740228279 | NPI | - | NPPES |
| 4263995 | Medicaid | MI | |
| 140331 | Other | MI | CARE CHOICES |
| P76650 | Other | MI | BLUE CROSS |
| 4465272 | Other | MI | AETNA |
| 4357788 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 5101010025 (Michigan) | 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. Dr Deirdre A Wickham 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 |
|---|
Dr Deirdre A Wickham, DO
304 1st St,
Elk Rapids, MI 49629-9713
Ph: (248) 921-0901 | Dr Deirdre A Wickham, DO
304 1st St,
Elk Rapids, MI 49629-9713
Ph: (248) 921-0901 |
Reviews and Comments