Dr Lawrence Kenneth Wickham, M D in Orange, CA

Dr Lawrence Kenneth Wickham, M D is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Orange, California. His current practice location is 455 S Main St, Orange, California. You can reach out to his office (for appointments etc.) via phone at (714) 532-8622.

Dr Lawrence Kenneth Wickham is licensed to practice in California (license number A29385) 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 1982667820.

Contact Information

	Dr Lawrence Kenneth Wickham, M D
	455 S Main St, Orange, CA 92868-3835
	(714) 532-8622
	(714) 289-4508

Map and Direction

Physician's Profile

Full Name	Dr Lawrence Kenneth Wickham
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	455 S Main St, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982667820
Provider Enumeration Date: 04/11/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5193004604
Enrollment ID: I20161126000009

Medical Identifiers

Medical identifiers for Dr Lawrence Kenneth Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982667820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	A29385 (California)	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 Lawrence Kenneth Wickham allows following entities to bill medicare on his behalf.

Entity Name	Children's Hospital Of Orange County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275975104 PECOS PAC ID: 6406944883 Enrollment ID: O20181213000428

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 Lawrence Kenneth Wickham 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 Lawrence Kenneth Wickham, M D 455 S Main St, Orange, CA 92868-3835 Ph: (714) 532-8622	Dr Lawrence Kenneth Wickham, M D 455 S Main St, Orange, CA 92868-3835 Ph: (714) 532-8622

Reviews and Comments

Pediatrics Doctors in Orange, CA

Pei Lin Chang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-558-2462
Antoine Soliman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4511 Fax: 714-289-4788
Dr. Jeffrey H Ho, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4099 Fax: 714-289-4063
Dr. Marita Fortades, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-532-8767 Fax: 714-289-4551
Dr. Daina Dreimane, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 888-770-2462 Fax: 855-246-2329
Dr. Sharief Khalil Taraman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 W La Veta Ave, Children's Hospital Of Orange County, Neurology, Orange, CA 92868 Phone: 714-509-7601 Fax: 855-246-2329
Dr. Terrie E Inder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 714-509-8147

Dr Lawrence Kenneth Wickham, M D - Medicare Pediatrics in Orange, CA