Dr Jenna Wickersham, DO | |
521 E Sioux Ave, Pierre, SD 57501-3142 | |
(605) 945-5560 | |
Not Available |
Full Name | Dr Jenna Wickersham |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 10 Years |
Location | 521 E Sioux Ave, Pierre, South Dakota |
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 |
---|---|---|---|
1538579271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0085 (South Dakota) | Secondary |
207Q00000X | Family Medicine | 10716 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Avera At Home | Pierre, SD | Home health agency |
Avera At Home | Pierre, SD | Hospice |
Avera St Mary's Hospital | Pierre, SD | Hospital |
Avantara Pierre | Pierre, SD | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera St Marys | 0143134965 | 82 |
Entity Name | Sanford Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
Entity Name | Avera St Marys |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
Entity Name | Avera Gettysburg |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1003887266 PECOS PAC ID: 4284619362 Enrollment ID: O20061104000319 |
Entity Name | Avera Gettysburg |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366091357 PECOS PAC ID: 4284619362 Enrollment ID: O20191025000756 |
Mailing Address | Practice Location Address |
---|---|
Dr Jenna Wickersham, DO Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Jenna Wickersham, DO 521 E Sioux Ave, Pierre, SD 57501-3142 Ph: (605) 945-5560 |
Caitlin Jensen, Family Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Sd Highway 34, Pierre, SD 57501 Phone: 605-773-7475 | |
Mr. Robert Allen Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369 | |
Mr. Noel Dennis Chicoine, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369 | |
Victor Craig Strasburg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Dr. Teresa Jo Bormann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 E Sioux Ave, Pierre, SD 57501 Phone: 605-945-5560 Fax: 605-224-0369 | |
Nielsen H. Burns, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3177 |