Philip F Wichmann, MD | |
7512 Morro Rd, Atascadero, CA 93422-4404 | |
(805) 792-1400 | |
(805) 792-1485 |
Full Name | Philip F Wichmann |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 7512 Morro Rd, Atascadero, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326000803 | NPI | - | NPPES |
701088500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23016 (Minnesota) | Primary |
Entity Name | Community Health Centers Of The Central Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Mailing Address | Practice Location Address |
---|---|
Philip F Wichmann, MD 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Philip F Wichmann, MD 7512 Morro Rd, Atascadero, CA 93422-4404 Ph: (805) 792-1400 |
Dr. Lisa Thiel Vasak, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5920 West Mall, Atascadero, CA 93422 Phone: 805-466-0676 | |
Ms. Emily K Luk, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 Fax: 805-466-6011 | |
Albert S Abdel-malek, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011 | |
Robin Andrew Alleyne, MD. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7512 Morro Rd, Atascadero, CA 93422 Phone: 805-792-1400 Fax: 805-792-1485 | |
Lymar Galon Bik, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6955 El Camino Real Ste 101, Atascadero, CA 93422 Phone: 805-539-2031 Fax: 805-539-2032 | |
Dr. Jason Anthony Green, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 | |
Timothy N Tidwell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5920 West Mall, Atascadero, CA 93422 Phone: 805-466-0676 |