Ms Emily Wickham, in Council Bluffs, IA - Medicare Nurse Practitioner

Ms Emily Wickham, is a medicare enrolled "Nurse Practitioner - Primary Care" in Council Bluffs, Iowa. Her current practice location is 3434 W Broadway Ste 100, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 325-0022.

Ms Emily Wickham is licensed to practice in Iowa (license number A174602) 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 1073254439.

Contact Information

	Ms Emily Wickham,
	3434 W Broadway Ste 100, Council Bluffs, IA 51501-3291
	(712) 325-0022
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Emily Wickham
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	3434 W Broadway Ste 100, Council Bluffs, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073254439
Provider Enumeration Date: 04/07/2022
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 1153777123
Enrollment ID: I20231214002130

Medical Identifiers

Medical identifiers for Ms Emily Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073254439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	114078 (Nebraska)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	A174602 (Iowa)	Primary

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. Ms Emily Wickham allows following entities to bill medicare on her behalf.

Entity Name	Bluffs Family Health Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194898296 PECOS PAC ID: 0446298061 Enrollment ID: O20070117000205

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. Ms Emily Wickham 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
Ms Emily Wickham, 3434 W Broadway Ste 100, Council Bluffs, IA 51501-3291 Ph: (712) 325-0022	Ms Emily Wickham, 3434 W Broadway Ste 100, Council Bluffs, IA 51501-3291 Ph: (712) 325-0022

Reviews and Comments

Nurse Practitioner Nurses in Council Bluffs, IA

Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985
Brian Luedke, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Jessalyn Brockman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Edmundson Pl Ste 200, Council Bluffs, IA 51503 Phone: 402-390-4111 Fax: 402-390-4115

Ms Emily Wickham, - Medicare Nurse Practitioner in Council Bluffs, IA