Nicholas Wendell Wickersham, MD in Boulder, CO - Medicare Diagnostic Radiology

Nicholas Wendell Wickersham, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boulder, Colorado. He went to University Of Washington School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Boulder Radiologists Inc P C and his current practice location is 1100 Balsam Ave, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 532-3500.

Nicholas Wendell Wickersham is licensed to practice in Colorado (license number 47842) 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 1396867222.

Contact Information

	Nicholas Wendell Wickersham, MD
	1100 Balsam Ave, Boulder, CO 80304-3404
	(303) 532-3500
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicholas Wendell Wickersham
Gender	Male
Speciality	Diagnostic Radiology
Experience	21 Years
Location	1100 Balsam Ave, Boulder, Colorado
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:

Nicholas Wendell Wickersham attended and graduated from University Of Washington School Of Medicine in 2003

NPI Data:

NPI Number: 1396867222
Provider Enumeration Date: 04/03/2007
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6305919622
Enrollment ID: I20090724000109

Medical Identifiers

Medical identifiers for Nicholas Wendell Wickersham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396867222	NPI	-	NPPES
07101759	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	47842 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boulder Community Health	Boulder, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boulder Radiologists Inc P C	4183510274	13

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. Nicholas Wendell Wickersham allows following entities to bill medicare on his behalf.

Entity Name	Boulder Radiologists Inc P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891756813 PECOS PAC ID: 4183510274 Enrollment ID: O20040225000774

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. Nicholas Wendell Wickersham 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
Nicholas Wendell Wickersham, MD 42 Garden Ctr, Broomfield, CO 80020-1730 Ph: (303) 465-0401	Nicholas Wendell Wickersham, MD 1100 Balsam Ave, Boulder, CO 80304-3404 Ph: (303) 532-3500

Reviews and Comments

Radiology Doctors in Boulder, CO

Francis Ignatius Donahue, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 770 12th St, Boulder, CO 80302 Phone: 952-595-1100 Fax: 612-294-4903
Dr. Gustavo L Isuani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4747 Arapahoe Ave, Boulder, CO 80303 Phone: 303-465-0401
Patrick Richard, M.D./M.P.H. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4715 Arapahoe Ave, Boulder, CO 80303 Phone: 303-285-2000 Fax: 303-385-2090
Dr. Paul D King, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4747 Arapahoe Ave, Boulder, CO 80303 Phone: 303-415-7500
Dr. Dai Thi Hoang, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4919 10th St, Boulder, CO 80304 Phone: 952-595-1100 Fax: 952-942-3361
Natalia Gaulke, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 937-723-3248
Robert E Helgans, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Balsam Ave, Radiology, Boulder, CO 80304 Phone: 303-465-0401

Nicholas Wendell Wickersham, MD - Medicare Diagnostic Radiology in Boulder, CO