Louis J Wickas Iii, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5238 | |
(740) 441-8058 |
Full Name | Louis J Wickas Iii |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 38 Years |
Location | 100 Jackson Pike, Gallipolis, Ohio |
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 |
---|---|---|---|
1104861806 | NPI | - | NPPES |
0787180 | Other | OH | MOLINA MEDICAID # |
0787180 | Medicaid | OH | |
000000193689 | Other | OH | UNISON MEDICAID # |
000000261323 | Other | ANTHEM BCBS | |
0058894000 | Medicaid | WV | |
000605261 | Other | MOUNTAIN STATE BCBS | |
050091556 | Other | OH | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20922 (West Virginia) | Secondary |
207L00000X | Anesthesiology | 35-08-1701 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holzer Medical Center | Gallipolis, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Louis J Wickas Iii, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5227 | Louis J Wickas Iii, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5238 |
Dr. Lee Edward Weiss, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982 | |
William R. Watts, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5238 Fax: 740-441-8058 |