Dr Gregory Mathew Wickern, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Twin Falls, Idaho. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1985 and has 39 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Asthma And Allergy Of Idaho Pllc, Asthma And Allergy Of Idaho Pllc and his current practice location is
1502 Locust St N Ste 600, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 734-6091.
Dr Gregory Mathew Wickern is licensed to practice in Idaho (license number M-10495) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972578672.
Physician's Profile
| Full Name | Dr Gregory Mathew Wickern |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 39 Years |
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| Location | 1502 Locust St N Ste 600, Twin Falls, Idaho |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Gregory Mathew Wickern attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1985
NPI Data:
- NPI Number: 1972578672
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 11/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759472244
- Enrollment ID: I20090618000502
Medical Identifiers
Medical identifiers for Dr Gregory Mathew Wickern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972578672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 13018 (Nevada) | Secondary |
| 207K00000X | Allergy & Immunology | 6578473-1205 (Utah) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | M-10495 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Asthma And Allergy Of Idaho Pllc | 7416943782 | 6 |
| Asthma And Allergy Of Idaho Pllc | 7416943782 | 6 |
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. Dr Gregory Mathew Wickern allows following entities to bill medicare on his behalf.
| Entity Name | Asthma & Allergy Of Idaho Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427138734
PECOS PAC ID: 7416943782
Enrollment ID: O20090618000466 |
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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. Dr Gregory Mathew Wickern 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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Dr Gregory Mathew Wickern, MD
800 Falls Ave, Suite #2,
Twin Falls, ID 83301-3366
Ph: (208) 734-6091 | Dr Gregory Mathew Wickern, MD
1502 Locust St N Ste 600,
Twin Falls, ID 83301-4164
Ph: (208) 734-6091 |
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