Dr Elizabeth Ann Wickstrom, MD in Indianapolis, IN

Dr Elizabeth Ann Wickstrom, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Indianapolis, Indiana. She went to University Of Nebraska College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice St Vincent Pediatric Subspecialties and her current practice location is 8081 Township Line Rd Ste 203, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 415-8100.

Dr Elizabeth Ann Wickstrom is licensed to practice in Indiana (license number 01088352A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952473118.

Contact Information

	Dr Elizabeth Ann Wickstrom, MD
	8081 Township Line Rd Ste 203, Indianapolis, IN 46260-2189
	(317) 415-8100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Elizabeth Ann Wickstrom
Gender	Female
Speciality	Obstetrics/gynecology
Experience	37 Years
Location	8081 Township Line Rd Ste 203, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Elizabeth Ann Wickstrom attended and graduated from University Of Nebraska College Of Medicine in 1987

NPI Data:

NPI Number: 1952473118
Provider Enumeration Date: 11/14/2006
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 4284731662
Enrollment ID: I20220913002986

Medical Identifiers

Medical identifiers for Dr Elizabeth Ann Wickstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952473118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VM0101X	Obstetrics & Gynecology - Maternal & Fetal Medicine	04-24625 (Kansas)	Secondary
207VM0101X	Obstetrics & Gynecology - Maternal & Fetal Medicine	R7N69 (Missouri)	Secondary
207VM0101X	Obstetrics & Gynecology - Maternal & Fetal Medicine	01088352A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Pediatric Subspecialties	1557313939	39

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Elizabeth Ann Wickstrom allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Physician Services Hospital And Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422234 PECOS PAC ID: 9638072184 Enrollment ID: O20040223001092

Entity Name	St Vincent Pediatric Subspecialties
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627

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 Elizabeth Ann Wickstrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Elizabeth Ann Wickstrom, MD 8081 Township Line Rd Ste 203, Indianapolis, IN 46260-2189 Ph: () -	Dr Elizabeth Ann Wickstrom, MD 8081 Township Line Rd Ste 203, Indianapolis, IN 46260-2189 Ph: (317) 415-8100

Reviews and Comments

Obstetrics & Gynecology Doctors in Indianapolis, IN

Dr. Elizabeth Ann Wehlage, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8111 Township Line Rd, Indianapolis, IN 46260 Phone: 317-415-7528 Fax: 317-415-7529
Ashley Seidner, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202 Phone: 317-957-2229
Jonathan Baker Lupton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237 Phone: 317-865-3600 Fax: 317-885-3850
Lillie-mae Padilla, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd, Uh 2440, Indianapolis, IN 46202 Phone: 317-274-1661 Fax: 317-278-9918
James H Brillhart, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8040 Clearvista Pkwy, Suite 520, Indianapolis, IN 46256 Phone: 317-621-2400 Fax: 317-621-5266
Alan M Golichowski, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8091 Township Line Rd Ste 108, Indianapolis, IN 46260 Phone: 317-415-8100
Jon K Hathaway, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-1661 Fax: 317-278-9918

Dr Elizabeth Ann Wickstrom, MD - Medicare Obstetrics/gynecology in Indianapolis, IN