Joshua James Wickstrom, MD | |
380a Cedar St, Metter, GA 30439-4042 | |
(800) 827-6536 | |
Not Available |
Full Name | Joshua James Wickstrom |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 380a Cedar St, Metter, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275026908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42431 (Alabama) | Secondary |
207Q00000X | Family Medicine | 89035 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cherokee Medical Center | Centre, AL | Hospital |
Floyd Medical Center | Rome, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Floyd Cherokee Medical Center Llc | 4880949775 | 9 |
Floyd Healthcare Management Inc | 5193633386 | 109 |
Entity Name | Floyd Healthcare Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689610149 PECOS PAC ID: 5193633386 Enrollment ID: O20040127000897 |
Entity Name | Tattnall Hospital Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790942381 PECOS PAC ID: 6204907124 Enrollment ID: O20080915000167 |
Mailing Address | Practice Location Address |
---|---|
Joshua James Wickstrom, MD 460 Mall Blvd Ste B, Savannah, GA 31406-4891 Ph: () - | Joshua James Wickstrom, MD 380a Cedar St, Metter, GA 30439-4042 Ph: (800) 827-6536 |
Jason Andrew Glow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors St, Metter, GA 30439 Phone: 912-685-5715 | |
Dr. Floyd A Soriano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 S Leroy St, Metter, GA 30439 Phone: 912-685-4040 Fax: 912-685-4041 | |
R Gary Branch, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10 Doctors Street, Metter, GA 30439 Phone: 912-685-5715 Fax: 912-685-3737 | |
Dr. Shenique Anderson Wesley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Cedar St, Metter, GA 30439 Phone: 912-685-5741 | |
Dr. Loy D Cowart Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors St, Metter, GA 30439 Phone: 912-685-5715 | |
John Dorsey Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Street, Metter, GA 30439 Phone: 912-685-5715 Fax: 912-685-3737 |