Mary Elizabeth Wickline, PA-C is a medicare enrolled "Physician Assistant" in Lindside, West Virginia. Her current practice location is
142 James Monroe Dr, Lindside, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 753-5940.
Mary Elizabeth Wickline is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285162693.
Provider's Profile
| Full Name | Mary Elizabeth Wickline |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 142 James Monroe Dr, Lindside, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285162693
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 01/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648500272
- Enrollment ID: I20190925001506
Medical Identifiers
Medical identifiers for Mary Elizabeth Wickline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285162693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Mary Elizabeth 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 |
|---|
Mary Elizabeth Wickline, PA-C
Po Box 590,
Union, WV 24983-0590
Ph: (304) 772-3064 | Mary Elizabeth Wickline, PA-C
142 James Monroe Dr,
Lindside, WV 24951-7168
Ph: (304) 753-5940 |
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