Dr Douglas W Wickman, MD | |
71 Prospect Ave, Hudson, NY 12534-2907 | |
(518) 697-3208 | |
(518) 697-3207 |
Full Name | Dr Douglas W Wickman |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 71 Prospect Ave, Hudson, New York |
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 |
---|---|---|---|
1447228325 | NPI | - | NPPES |
286348 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD23937 (Oregon) | Primary |
207R00000X | Internal Medicine | 248055 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Columbia Memorial Hospital | Hudson, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbia Memorial Hospital | 5092709410 | 183 |
Entity Name | Columbia Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083639587 PECOS PAC ID: 5092709410 Enrollment ID: O20040409000109 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas W Wickman, MD Po Box 2000, Hudson, NY 12534-2000 Ph: (518) 828-8363 | Dr Douglas W Wickman, MD 71 Prospect Ave, Hudson, NY 12534-2907 Ph: (518) 697-3208 |
Richard B Weininger, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Millbrook Road, Hudson, NY 12534 Phone: 914-388-0800 Fax: 518-751-1531 | |
Vinita Gupta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 71 Prospect Ave Ste 210, Hudson, NY 12534 Phone: 518-828-2565 | |
Salim Ghulam Contractor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 69 Prospect Ave, Hudson, NY 12534 Phone: 518-822-8484 Fax: 518-822-9335 | |
Dr. Ana Lups, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Rt 14 Box 149, Hudson, NY 12534 Phone: 518-828-3292 Fax: 518-828-7176 | |
Peter Augustus Franklin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 71 Prospect Ave, Hudson, NY 12534 Phone: 518-751-1016 Fax: 518-751-1020 | |
Vinod K Gupta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 67 Prospect Ave, Suite 210, Hudson, NY 12534 Phone: 518-828-2565 | |
Carl D Atkins, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 69 Prospect Ave, Hudson, NY 12534 Phone: 518-822-8484 |