Ellen Mamie Wicker, DO is a medicare enrolled "Colon & Rectal Surgery" physician in El Paso, Texas. Her current practice location is
2000 Transmountain Rd Ste B, El Paso, Texas. You can reach out to her office (for appointments etc.) via phone at
(915) 215-8400.
Ellen Mamie Wicker is licensed to practice in Texas (license number T6079) 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 1821452350.
Physician's Profile
Full Name | Ellen Mamie Wicker |
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Gender | Female |
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Speciality | Colon & Rectal Surgery |
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Location | 2000 Transmountain Rd Ste B, El Paso, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821452350
- Provider Enumeration Date: 04/11/2016
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002297918
- Enrollment ID: I20220722001280
Medical Identifiers
Medical identifiers for Ellen Mamie Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821452350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | T6079 (Texas) | Secondary |
208C00000X | Colon & Rectal Surgery | T6079 (Texas) | 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. Ellen Mamie Wicker allows following entities to bill medicare on her behalf.
Entity Name | Texas Tech University Health Sciences Center El Paso |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
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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. Ellen Mamie 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 |
Ellen Mamie Wicker, DO 440 Raynolds St # 51015, El Paso, TX 79905-1613 Ph: (915) 215-4480 | Ellen Mamie Wicker, DO 2000 Transmountain Rd Ste B, El Paso, TX 79911-3602 Ph: (915) 215-8400 |
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