Dr Andrea Denise Wickersham, PSYD | |
117 Old Soldiers Ln, Frankfort, KY 40601-6159 | |
(502) 875-7272 | |
Not Available |
Full Name | Dr Andrea Denise Wickersham |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 117 Old Soldiers Ln, Frankfort, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942705652 | NPI | - | NPPES |
7100519190 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 129186 (Kentucky) | Primary |
Entity Name | Ppl Therapeutic Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104323252 PECOS PAC ID: 8527323989 Enrollment ID: O20180606000408 |
Mailing Address | Practice Location Address |
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Dr Andrea Denise Wickersham, PSYD 1016 Park Place Dr, Richmond, KY 40475-3442 Ph: (859) 582-7433 | Dr Andrea Denise Wickersham, PSYD 117 Old Soldiers Ln, Frankfort, KY 40601-6159 Ph: (502) 875-7272 |
Patricia Leanne Scott, MS, LPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1471 Twilight Trl, Frankfort, KY 40601 Phone: 502-352-5457 | |
Ms. Rebecca R Perkins, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 625 Leawood Dr Ste A, Frankfort, KY 40601 Phone: 859-253-1686 Fax: 859-254-2743 | |
Mrs. Sophia Yvonne Semones, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 959 Leestown Ln, Frankfort, KY 40601 Phone: 502-875-8666 Fax: 502-875-1646 | |
Mrs. Barbara Sue Domingo Henderson, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 308 Wilkinson St, Frankfort, KY 40601 Phone: 502-330-9696 | |
Dr. Olivia Maxine Hilchey, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 306 W Main St Ste 512, Frankfort, KY 40601 Phone: 576-546-1900 Fax: 576-546-1999 | |
Nicole Mann Highland, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 Progress Dr Ste B, Frankfort, KY 40601 Phone: 502-848-0201 | |
Dr. David T Susman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 275 E Main St # 4w-f, Frankfort, KY 40621 Phone: 502-782-0317 |