Dr Johanna Lee Wickemeyer, MD in New Haven, CT

Dr Johanna Lee Wickemeyer, MD is a medicare enrolled "Otolaryngology" physician in New Haven, Connecticut. Her current practice location is 800 Howard Ave, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 785-2467.

Dr Johanna Lee Wickemeyer is licensed to practice in Connecticut (license number 74545) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902337033.

Contact Information

	Dr Johanna Lee Wickemeyer, MD
	800 Howard Ave, New Haven, CT 06519-1369
	(203) 785-2467
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Johanna Lee Wickemeyer
Gender	Female
Speciality	Otolaryngology
Location	800 Howard Ave, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902337033
Provider Enumeration Date: 03/21/2017
Last Update Date: 10/12/2024

Medicare PECOS Information:

PECOS PAC ID: 9436424751
Enrollment ID: I20231026000982

Medical Identifiers

Medical identifiers for Dr Johanna Lee Wickemeyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902337033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YS0012X	Otolaryngology - Sleep Medicine	74545 (Connecticut)	Secondary
207Y00000X	Otolaryngology	74545 (Connecticut)	Primary

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 Johanna Lee Wickemeyer allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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 Johanna Lee Wickemeyer 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 Johanna Lee Wickemeyer, MD 22 Elderslie Ln, Woodbridge, CT 06525-1038 Ph: (508) 728-0717	Dr Johanna Lee Wickemeyer, MD 800 Howard Ave, New Haven, CT 06519-1369 Ph: (203) 785-2467

Reviews and Comments

Otolaryngology Doctors in New Haven, CT

Justin Cottrell, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 800 Howard Ave Fl 4, New Haven, CT 06519 Phone: 877-925-3637 Fax: 203-785-3970
Dr. Kiley Edward Trott, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1 Park Street, Wing West Pavilion Fl 2nd Floor, New Haven, CT 06504 Phone: 203-785-5430 Fax: 203-785-3970
Mark S Bianchi, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 55 Lock Street, New Haven, CT 06511 Phone: 203-375-0050 Fax: 203-380-1616
Dr. Sara Isabel Pai, MD, PHD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Park St, New Haven, CT 06519 Phone: 855-476-4569
Dr. Richard Peter Manes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 Howard Ave Fl 4, Yale Physicians Building, New Haven, CT 06519 Phone: 203-785-2593 Fax: 203-785-3970
Sam D Schild, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 330 Cedar Street, New Haven, CT 06510 Phone: 203-785-5430
Mark A Dagostino, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, Suite 302, New Haven, CT 06511 Phone: 203-776-1288 Fax: 203-776-7741

Dr Johanna Lee Wickemeyer, MD - Medicare Otolaryngology in New Haven, CT