Richard P Wikholm, MD | |
116 S Palisade Dr, Ste 206, Santa Maria, CA 93454-8904 | |
(805) 614-9250 | |
(805) 614-9260 |
Full Name | Richard P Wikholm |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 41 Years |
Location | 116 S Palisade Dr, Santa Maria, California |
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 |
---|---|---|---|
1831198647 | NPI | - | NPPES |
00G558110 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | G55811 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marian Regional Medical Center | Santa maria, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Coast Otolaryngology | 2769521178 | 3 |
Entity Name | Central Coast Otolaryngology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427382811 PECOS PAC ID: 2769521178 Enrollment ID: O20091124000624 |
Mailing Address | Practice Location Address |
---|---|
Richard P Wikholm, MD Po Box 5427, Santa Maria, CA 93456-5427 Ph: (805) 614-6250 | Richard P Wikholm, MD 116 S Palisade Dr, Ste 206, Santa Maria, CA 93454-8904 Ph: (805) 614-9250 |
Dr. Raymund J Llaurado, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 220 S Palisade Dr, Suite 102, Santa Maria, CA 93454 Phone: 805-922-6641 Fax: 805-922-5927 | |
Zachary Vandegriend, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 116 S Palisade Dr Ste 206, Santa Maria, CA 93454 Phone: 805-614-9250 Fax: 805-614-9260 | |
Garabed Messrobain, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 116 S Palisade Dr, Ste 206, Santa Maria, CA 93454 Phone: 805-347-9992 Fax: 805-614-9260 |