Eddie J Wickline, CRNA in Elkhart, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Eddie J Wickline, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He graduated from nursing school in 1987 and has 37 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Orthopedic And Sports Medicine Center Of Northern Indiana Inc and his current practice location is 2310 California Rd, Ste A, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 264-0791.

Eddie J Wickline is licensed to practice in Indiana (license number 28137996A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891805503.

Contact Information

	Eddie J Wickline, CRNA
	2310 California Rd, Ste A, Elkhart, IN 46514-1228
	(574) 264-0791
	(574) 262-9650

Map and Direction

Provider's Profile

Full Name	Eddie J Wickline
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	37 Years
Location	2310 California Rd, Elkhart, 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.

Medical Education and Training:

Eddie J Wickline graduated from nursing school in 1987

NPI Data:

NPI Number: 1891805503
Provider Enumeration Date: 08/30/2006
Last Update Date: 10/12/2011

Medicare PECOS Information:

PECOS PAC ID: 1557534211
Enrollment ID: I20111026000148

Medical Identifiers

Medical identifiers for Eddie J Wickline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891805503	NPI	-	NPPES
200295510	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28137996A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic And Sports Medicine Center Of Northern Indiana Inc	0840260105	45

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eddie J Wickline allows following entities to bill medicare on his behalf.

Entity Name	Orthopedic And Sports Medicine Center Of Northern Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710085253 PECOS PAC ID: 0840260105 Enrollment ID: O20040727000002

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. Eddie J Wickline is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Eddie J Wickline, CRNA 2310 California Rd, Ste A, Elkhart, IN 46514-1228 Ph: (574) 264-0791	Eddie J Wickline, CRNA 2310 California Rd, Ste A, Elkhart, IN 46514-1228 Ph: (574) 264-0791

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mr. Taqi Qays Abdu-as-salaam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514 Phone: 574-522-9922
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926
Naznin Lalani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463

Eddie J Wickline, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN