Ross Wickstrom, | |
1184 W Locust St, Wilmington, OH 45177-2009 | |
(937) 382-1616 | |
Not Available |
Full Name | Ross Wickstrom |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1184 W Locust St, Wilmington, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003265364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.19152-NP (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cmh Home Health Care | Wilmington, OH | Home health agency |
Clinton Memorial Hospital | Wilmington, OH | Hospital |
Christ Hospital | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Christ Hospital Medical Associates, Llc | 0244314102 | 265 |
Entity Name | The Christ Hospital Medical Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114107919 PECOS PAC ID: 0244314102 Enrollment ID: O20080301000140 |
Mailing Address | Practice Location Address |
---|---|
Ross Wickstrom, 1184 W Locust St, Wilmington, OH 45177-2009 Ph: (937) 382-1616 | Ross Wickstrom, 1184 W Locust St, Wilmington, OH 45177-2009 Ph: (937) 382-1616 |
Ms. Margaret M Brausch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Tiffany Burroughs, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 | |
Mrs. Jacquelynn R Mcconnaughey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2107 Rombach Ave, Wilmington, OH 45177 Phone: 937-383-1040 | |
Sandy W Neville, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 | |
Portia Vincent, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2845 Progress Way, Wilmington, OH 45177 Phone: 937-944-3385 | |
Mrs. Roseanne Elizabeth Mckay, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 W Main St, Wilmington, OH 45177 Phone: 937-481-2930 Fax: 937-382-4717 |