Dale Alan Wickstrum, MD in Tallahassee, FL

Dale Alan Wickstrum, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Tallahassee, Florida. His current practice location is 2003 Centre Pointe Blvd, Tallahassee, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 878-2273.

Dale Alan Wickstrum is licensed to practice in Florida (license number ME0035684) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306890322.

Contact Information

	Dale Alan Wickstrum, MD
	2003 Centre Pointe Blvd, Tallahassee, FL 32308-4893
	(850) 878-2273
	(850) 671-5900

Map and Direction

Physician's Profile

Full Name	Dale Alan Wickstrum
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	2003 Centre Pointe Blvd, Tallahassee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306890322
Provider Enumeration Date: 05/22/2006
Last Update Date: 11/23/2015

Medicare PECOS Information:

PECOS PAC ID: 3577524578
Enrollment ID: I20111121000166

Medical Identifiers

Medical identifiers for Dale Alan Wickstrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306890322	NPI	-	NPPES
051677500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	ME0035684 (Florida)	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. Dale Alan Wickstrum allows following entities to bill medicare on his behalf.

Entity Name	North Florida Cancer Center Tallahassee Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952398448 PECOS PAC ID: 6800837048 Enrollment ID: O20050518000065

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. Dale Alan Wickstrum 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
Dale Alan Wickstrum, MD Po Box 14446, Tallahassee, FL 32317-4446 Ph: (850) 222-4858	Dale Alan Wickstrum, MD 2003 Centre Pointe Blvd, Tallahassee, FL 32308-4893 Ph: (850) 878-2273

Reviews and Comments

Radiology Doctors in Tallahassee, FL

Steven G Ostrov, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1600 Phillips Rd, Tallahassee, FL 32308 Phone: 850-878-4127 Fax: 850-878-0337
Daniel B Yang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Phillips Rd, Tallahassee, FL 32308 Phone: 850-878-4127 Fax: 850-878-0337
Philip Vance Sharp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1775 One Healing Place, Tmhpp Radiation Oncology Specialists, Tallahassee, FL 32308 Phone: 850-431-5255 Fax: 850-431-6039
Cilla Edmonston Poppell, MD Radiology Medicare: Medicare Enrolled Practice Location: 1775 One Healing Pl, Tallahassee, FL 32308 Phone: 850-341-4226
Dr. Bruce Alan Rodan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3259 Updike Ave, Tallahassee, FL 32311 Phone: 850-765-0233
Dr. Eric Howe Loevinger, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1607 Saint James Ct, Tallahassee, FL 32308 Phone: 850-878-0191 Fax: 850-878-8900
Brook Jacob Hill, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Phillips Rd, Tallahassee, FL 32308 Phone: 850-878-4127

Dale Alan Wickstrum, MD - Medicare Radiology in Tallahassee, FL