Philip M Zickerman, MD is a
Urology physician based in Weston, Wisconsin. Philip M Zickerman is licensed to practice in Wisconsin (license number 20785) and his current practice location is 3501 Cranberry Blvd, Weston, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 393-1000.
NPI number for Philip M Zickerman is 1578661310 and his current mailing address is 1000 N Oak Ave, Marshfield, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578661310.
Physician's Profile
| Full Name | Philip M Zickerman |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 3501 Cranberry Blvd, Weston, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578661310
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 02/10/2012
Medical Identifiers
Medical identifiers for Philip M Zickerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578661310 | NPI | - | NPPES |
| 30135400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 20785 (Wisconsin) | Primary |
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. Philip M Zickerman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Philip M Zickerman, MD
1000 N Oak Ave,
Marshfield, WI 54449-5703
Ph: (715) 387-5511 | Philip M Zickerman, MD
3501 Cranberry Blvd,
Weston, WI 54476-5213
Ph: (715) 393-1000 |
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