Carey Wickham, is a medicare enrolled "Colon & Rectal Surgery" physician in Portland, Oregon. She went to George Washington University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Northwest Minimally Invasive Surgery, Llc, Northwest Minimally Invasive Surgery, Llc and her current practice location is
4805 Ne Glisan St Ste 6n60, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 281-0561.
Carey Wickham is licensed to practice in Oregon (license number MD212636) 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 1750820007.
Physician's Profile
| Full Name | Carey Wickham |
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| Gender | Female |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 11 Years |
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| Location | 4805 Ne Glisan St Ste 6n60, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carey Wickham attended and graduated from George Washington University School Of Medicine in 2015
NPI Data:
- NPI Number: 1750820007
- Provider Enumeration Date: 02/20/2017
- Last Update Date: 08/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072861582
- Enrollment ID: I20221025001533
Medical Identifiers
Medical identifiers for Carey Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750820007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 145897 (California) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD212636 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northwest Minimally Invasive Surgery, Llc | 5799059309 | 5 |
| Northwest Minimally Invasive Surgery, Llc | 5799059309 | 5 |
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. Carey Wickham allows following entities to bill medicare on her behalf.
| Entity Name | Northwest Minimally Invasive Surgery, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386168029
PECOS PAC ID: 5799059309
Enrollment ID: O20170920003595 |
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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. Carey 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 |
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Carey Wickham,
541 Ne 20th Ave Ste 225,
Portland, OR 97232-2895
Ph: (503) 963-2801 | Carey Wickham,
4805 Ne Glisan St Ste 6n60,
Portland, OR 97213-2933
Ph: (503) 281-0561 |
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