William L Wixom, DO | |
1000 S Main St, Tipton, IN 46072-9753 | |
(765) 675-8397 | |
(765) 675-6704 |
Full Name | William L Wixom |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 35 Years |
Location | 1000 S Main St, Tipton, Indiana |
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 |
---|---|---|---|
1578594933 | NPI | - | NPPES |
000000851734 | Other | IN | ANTHEM PIN |
200116990 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 02001810A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 02001810A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverview Health | Noblesville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverview Hospital | 1153216627 | 158 |
Entity Name | Riverview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Entity Name | Chiromed Plus Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881007722 PECOS PAC ID: 7416174347 Enrollment ID: O20140815001929 |
Mailing Address | Practice Location Address |
---|---|
William L Wixom, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | William L Wixom, DO 1000 S Main St, Tipton, IN 46072-9753 Ph: (765) 675-8397 |
Dr. Charles Lai, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8521 Fax: 765-675-8520 | |
Sherif S Andrews, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main Street, Tipton, IN 46072 Phone: 765-675-8397 Fax: 765-675-6704 | |
James Riley Davidson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8391 Fax: 765-675-6704 | |
Dr. Saba Haq, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8106 Fax: 765-675-8257 |