Mrs Cami Wickstrom, APRN in Omaha, NE - Medicare Nurse Practitioner

Mrs Cami Wickstrom, APRN is a medicare enrolled "Nurse Practitioner" in Omaha, Nebraska. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physicians Clinic Inc, Medifast Urgent Care Llc, Physicians Clinic Inc and her current practice location is 5908 S 142nd St, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 354-1900.

Mrs Cami Wickstrom is licensed to practice in Nebraska (license number 113797) 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 1255003273.

Contact Information

	Mrs Cami Wickstrom, APRN
	5908 S 142nd St, Omaha, NE 68137-2800
	(402) 354-1900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Cami Wickstrom
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	5908 S 142nd St, Omaha, Nebraska
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:

Mrs Cami Wickstrom graduated from nursing school in 2021

NPI Data:

NPI Number: 1255003273
Provider Enumeration Date: 09/28/2021
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6901284892
Enrollment ID: I20220606001143

Medical Identifiers

Medical identifiers for Mrs Cami Wickstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255003273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	113797 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Nebraska Methodist Hospital	Omaha, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Clinic Inc	4880506062	505
Medifast Urgent Care Llc	7113363284	4
Physicians Clinic Inc	4880506062	505

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. Mrs Cami Wickstrom allows following entities to bill medicare on her behalf.

Entity Name	Physicians Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345

Entity Name	Medifast Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508633637 PECOS PAC ID: 7113363284 Enrollment ID: O20240312000371

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. Mrs Cami Wickstrom 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
Mrs Cami Wickstrom, APRN 5062 S 155th St, Omaha, NE 68137-5002 Ph: (402) 383-5272	Mrs Cami Wickstrom, APRN 5908 S 142nd St, Omaha, NE 68137-2800 Ph: (402) 354-1900

Reviews and Comments

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Mrs Cami Wickstrom, APRN - Medicare Nurse Practitioner in Omaha, NE