Kathryn Wickard, is a
Registered Nurse - Addiction (substance Use Disorder) based in Clearlake Oaks, California. Kathryn Wickard is licensed to practice in California (license number 271931) and her current practice location is
14715 East Highway 20, Clearlake Oaks, California. She can be reached at her office (for appointments etc.) via phone at
(707) 668-1800.
NPI number for Kathryn Wickard is 1538783212 and her current mailing address is Po Box 366, Clearlake Oaks, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538783212.
Provider's Profile
Full Name | Kathryn Wickard |
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Gender | Female |
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Speciality | Registered Nurse - Addiction (substance Use Disorder) |
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Location | 14715 East Highway 20, Clearlake Oaks, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538783212
- Provider Enumeration Date: 05/29/2020
- Last Update Date: 05/29/2020
Medical Identifiers
Medical identifiers for Kathryn Wickard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538783212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 271931 (California) | Primary |
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. Kathryn Wickard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathryn Wickard, Po Box 366, Clearlake Oaks, CA 95423-0366 Ph: (707) 998-1800 | Kathryn Wickard, 14715 East Highway 20, Clearlake Oaks, CA 95423 Ph: (707) 668-1800 |
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