Emerson M Wickwire, PHD in Baltimore, MD - Medicare Clinical Psychologist

Emerson M Wickwire, PHD is a medicare enrolled "Psychologist - Clinical" physician in Baltimore, Maryland. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice University Of Maryland Physicians P.a. and his current practice location is 827 Linden Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 328-8141.

Emerson M Wickwire is licensed to practice in Maryland (license number 04597) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790926434.

Contact Information

	Emerson M Wickwire, PHD
	827 Linden Ave, Baltimore, MD 21201-4606
	(410) 328-8141
	(410) 328-0177

Map and Direction

Physician's Profile

Full Name	Emerson M Wickwire
Gender	Male
Speciality	Clinical Psychologist
Experience	17 Years
Location	827 Linden Ave, Baltimore, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Emerson M Wickwire graduated from medical school in 2007

NPI Data:

NPI Number: 1790926434
Provider Enumeration Date: 03/10/2009
Last Update Date: 10/30/2019

Medicare PECOS Information:

PECOS PAC ID: 9133265408
Enrollment ID: I20090930000537

Medical Identifiers

Medical identifiers for Emerson M Wickwire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790926434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0012X	Internal Medicine - Sleep Medicine	04597 (Maryland)	Secondary
103TC0700X	Psychologist - Clinical	04597 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Maryland Physicians P.a.	2769394808	310

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. Emerson M Wickwire allows following entities to bill medicare on his behalf.

Entity Name	University Of Maryland Physicians P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689623175 PECOS PAC ID: 2769394808 Enrollment ID: O20031105000792

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. Emerson M Wickwire 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
Emerson M Wickwire, PHD Po Box 64442, Baltimore, MD 21264-4442 Ph: (410) 225-8000	Emerson M Wickwire, PHD 827 Linden Ave, Baltimore, MD 21201-4606 Ph: (410) 328-8141

Emerson M Wickwire, PHD - Medicare Clinical Psychologist in Baltimore, MD