Eric William Wickersham, CRNP in Philadelphia, PA

Eric William Wickersham, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Penn-medical Group and his current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 316-5151.

Eric William Wickersham is licensed to practice in Pennsylvania (license number SP021407) 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 1982223624.

Contact Information

	Eric William Wickersham, CRNP
	3400 Spruce St, Philadelphia, PA 19104-4238
	(215) 316-5151
	Not Available

Map and Direction

Provider's Profile

Full Name	Eric William Wickersham
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	3400 Spruce St, Philadelphia, Pennsylvania
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:

Eric William Wickersham graduated from nursing school in 2015

NPI Data:

NPI Number: 1982223624
Provider Enumeration Date: 04/13/2020
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 8224459474
Enrollment ID: I20200527000079

Medical Identifiers

Medical identifiers for Eric William Wickersham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982223624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP021407 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn-medical Group	6204730955	3051

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. Eric William Wickersham allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093725145 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000256

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. Eric William Wickersham 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
Eric William Wickersham, CRNP 980 Glackens Ln, Wilmington, DE 19808-1130 Ph: (302) 530-1281	Eric William Wickersham, CRNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 316-5151

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Eric William Wickersham, CRNP - Medicare Nurse Practitioner in Philadelphia, PA