Emily Louise Wickersham, DO | |
1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | |
(253) 968-2252 | |
Not Available |
Full Name | Emily Louise Wickersham |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1 Jarrett White Rd, Tripler Amc, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093175358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 1728 (Nebraska) | Primary |
Entity Name | Citizens Memorial Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
Mailing Address | Practice Location Address |
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Emily Louise Wickersham, DO 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 Ph: (808) 433-5266 | Emily Louise Wickersham, DO 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 Ph: (253) 968-2252 |
Dr. Christina Belnap, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Dr. James Kwon, MD Pathology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 315-433-5266 | |
Judy Freeman, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 | |
Dr. Song Qu, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-6541 |