Richard Wickenheiser, MD | |
2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | |
(530) 527-0414 | |
Not Available |
Full Name | Richard Wickenheiser |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2450 Sister Mary Columba Dr, Red Bluff, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124153721 | NPI | - | NPPES |
GR0089250 | Medicaid | CA | |
RHM53955F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G49852 (California) | Primary |
Entity Name | County Of Tehama |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043427388 PECOS PAC ID: 2668433269 Enrollment ID: O20050408001105 |
Mailing Address | Practice Location Address |
---|---|
Richard Wickenheiser, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414 | Richard Wickenheiser, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414 |
David Dahnke, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Dr. Neil Andrew Louwrens, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2440 Sister Mary Columba Dr Ste 300, Red Bluff, CA 96080 Phone: 888-633-1441 Fax: 888-633-1441 | |
Arjana Shakya, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Kerry S. Waits, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-529-8330 Fax: 530-529-8329 | |
Saeid Ahmadpour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Mr. Stephen Pacia Datu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Sale Ln, Suite A, Red Bluff, CA 96080 Phone: 530-527-8688 Fax: 530-527-8561 |