Dr Kenneth D Wicker, MD in Knoxville, TN

Dr Kenneth D Wicker, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Knoxville, Tennessee. His current practice location is 2018 W Clinch Ave, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 541-8000.

Dr Kenneth D Wicker is licensed to practice in Tennessee (license number MD18702) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992732994.

Contact Information

	Dr Kenneth D Wicker, MD
	2018 W Clinch Ave, Knoxville, TN 37916-2301
	(865) 541-8000
	(865) 539-8008

Map and Direction

Physician's Profile

Full Name	Dr Kenneth D Wicker
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	2018 W Clinch Ave, Knoxville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992732994
Provider Enumeration Date: 06/26/2006
Last Update Date: 11/21/2007

Medicare PECOS Information:

PECOS PAC ID: 7113978545
Enrollment ID: I20050203000008

Medical Identifiers

Medical identifiers for Dr Kenneth D Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992732994	NPI	-	NPPES
64928021	Medicaid	KY
3082433	Medicaid	TN
3082430	Medicaid	TN
3055615	Other	TN	BLUE CROSS
3082434	Medicaid	TN
4152062	Other	TN	BLUE CROSS
3112589	Other	TN	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD18702 (Tennessee)	Secondary
208000000X	Pediatrics	MD18702 (Tennessee)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	MD18702 (Tennessee)	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 Kenneth D Wicker allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997

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 Kenneth D Wicker 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 Kenneth D Wicker, MD Po Box 634706, Cincinnati, OH 45263-0001 Ph: () -	Dr Kenneth D Wicker, MD 2018 W Clinch Ave, Knoxville, TN 37916-2301 Ph: (865) 541-8000

Reviews and Comments

Pediatrics Doctors in Knoxville, TN

Megan Mills, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4741 N Broadway St Ste B, Knoxville, TN 37918 Phone: 865-687-1940
Thomas H. Lowry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2587 Willow Point Way, Knoxville, TN 37931 Phone: 865-470-2560 Fax: 865-691-5883
Kelly Patrice Boggan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 Dutch Valley Dr, Knoxville, TN 37918 Phone: 865-689-1122 Fax: 865-689-2923
Mrs. Stephanie Stapleton Shults, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9142 S Northshore Dr, Knoxville, TN 37922 Phone: 865-670-1560 Fax: 865-670-1862
Michael R Liske, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916 Phone: 865-971-6897 Fax: 865-971-1597
Dr. Wilson Scout Robinson Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2121 Highland Ave, Knoxville, TN 37916 Phone: 865-525-2640 Fax: 865-525-9536
Shahid Ahmed Malik, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2018 Clinch Avenue, Knoxville, TN 37916 Phone: 865-541-8266 Fax: 865-541-8553

Dr Kenneth D Wicker, MD - Medicare Pediatrics in Knoxville, TN