Kelsey Wickenhauser, PA in Godfrey, IL - Medicare Physician Assistant

Kelsey Wickenhauser, PA is a medicare enrolled "Physician Assistant" in Godfrey, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 1368 Dadrian Professional Park, Godfrey, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 530-9841.

Kelsey Wickenhauser is licensed to practice in Illinois (license number 085 005 018) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972849321.

Contact Information

	Kelsey Wickenhauser, PA
	1368 Dadrian Professional Park, Godfrey, IL 62035-1685
	(309) 530-9841
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Wickenhauser
Gender	Female
Speciality	Physician Assistant
Experience	12 Years
Location	1368 Dadrian Professional Park, Godfrey, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelsey Wickenhauser graduated from nursing school in 2012

NPI Data:

NPI Number: 1972849321
Provider Enumeration Date: 12/12/2012
Last Update Date: 05/13/2014

Medicare PECOS Information:

PECOS PAC ID: 1153575287
Enrollment ID: I20140425000878

Medical Identifiers

Medical identifiers for Kelsey Wickenhauser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972849321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2012037422 (Missouri)	Secondary
363A00000X	Physician Assistant	085 005 018 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Medical Center	Bloomington, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1552

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. Kelsey Wickenhauser 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
Kelsey Wickenhauser, PA 8416 Gannon Ave, Saint Louis, MO 63132-4907 Ph: (309) 530-9841	Kelsey Wickenhauser, PA 1368 Dadrian Professional Park, Godfrey, IL 62035-1685 Ph: (309) 530-9841

Reviews and Comments

Physician Assistant Nurses in Godfrey, IL

Jessica N Stricklin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 Fax: 618-619-3390
Morgan Peters, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 6702 Godfrey Rd, Godfrey, IL 62035 Phone: 618-467-1520
Lucas Edwards, Physician Assistant Medicare: Medicare Enrolled Practice Location: 6702 Godfrey Rd, Godfrey, IL 62035 Phone: 618-467-1540

Kelsey Wickenhauser, PA - Medicare Physician Assistant in Godfrey, IL