Mary Elizabeth Wickline, PA-C is a medicare enrolled "Physician Assistant" in Lindside, West Virginia. Her current practice location is
Rr 1 Box 97, 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 | Rr 1 Box 97, 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. |
NPI Data:
- NPI Number: 1285162693
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 03/17/2018
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 |
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 Rr 1 Box 97, Lindside, WV 24951-9612 Ph: (304) 753-5940 |
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