Dr James R Wickerath, MD | |
1706 E Capitol Ave, Variable Subcontracting Cities And States, Ellensburg, WA 98926 | |
(509) 674-3759 | |
Not Available |
Full Name | Dr James R Wickerath |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1706 E Capitol Ave, Ellensburg, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780610915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00028905 (Washington) | Primary |
Entity Name | Spencer Municipal Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396732186 PECOS PAC ID: 4183533060 Enrollment ID: O20040128000325 |
Mailing Address | Practice Location Address |
---|---|
Dr James R Wickerath, MD 1706 E Capitol Ave, Ellensburg, WA 98926-9442 Ph: (509) 674-8511 | Dr James R Wickerath, MD 1706 E Capitol Ave, Variable Subcontracting Cities And States, Ellensburg, WA 98926 Ph: (509) 674-3759 |
Dr. David Philip Frick, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 603 S Chestnut St, Ellensburg, WA 98926 Phone: 509-962-9841 | |
Dr. James Collins Manson-hing, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 603 S Chestnut St, Ellensburg, WA 98926 Phone: 509-962-9841 | |
Dr. Jackson S Horsley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 603 S Chestnut St, Ellensburg, WA 98926 Phone: 509-962-9841 |