Dr Heather Jo Wichman, MD - Medicare Diagnostic Radiology in La Crosse, WI

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Dr Heather Jo Wichman, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in La Crosse, Wisconsin. She went to Medical College Of Wisconsin and graduated in 2006 and has 18 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Gundersen Lutheran Medical Center Inc, Saint Elizabeths Hospital Of Wabasha Inc, Tri-county Memorial Hospital Inc, Gundersen Lutheran Medical Center Inc, Saint Elizabeths Hospital Of Wabasha Inc and her current practice location is 1900 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 775-6569.

Dr Heather Jo Wichman is licensed to practice in Wisconsin (license number 5751820) 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 1043471972.

Contact Information

Dr Heather Jo Wichman, MD
1900 South Ave,
La Crosse, WI 54601-5467
(608) 775-6569
Not Available

Map and Direction




Physician's Profile

Full NameDr Heather Jo Wichman
GenderFemale
SpecialityDiagnostic Radiology
Experience18 Years
Location1900 South Ave, La Crosse, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Heather Jo Wichman attended and graduated from Medical College Of Wisconsin in 2006
  NPI Data:
  • NPI Number: 1043471972
  • Provider Enumeration Date: 06/23/2008
  • Last Update Date: 01/26/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7618124090
  • Enrollment ID: I20120821000401

Medical Identifiers

Medical identifiers for Dr Heather Jo Wichman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043471972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5751820 (Wisconsin)Secondary
2085R0202XRadiology - Diagnostic Radiology MD40484 (Iowa)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology PY58702 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology PY58702 (Minnesota)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD40484 (Iowa)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 5751820 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gundersen Lutheran Medical CenterLa crosse, WIHospital
St Elizabeth Medical CenterWabasha, MNHospital
Gundersen Tri-county Hospital & ClinicsWhitehall, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gundersen Lutheran Medical Center Inc2163331414800
Saint Elizabeths Hospital Of Wabasha Inc509261938773
Tri-county Memorial Hospital Inc458764241856
Gundersen Lutheran Medical Center Inc2163331414800
Saint Elizabeths Hospital Of Wabasha Inc509261938773

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 Heather Jo Wichman allows following entities to bill medicare on her behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameMoundview Memorial Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710939533
PECOS PAC ID: 1355250432
Enrollment ID: O20031121000846
Entity NameMemorial Hospital Of Boscobel
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760459846
PECOS PAC ID: 8325957673
Enrollment ID: O20040115000725
Entity NameKrohn Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790777621
PECOS PAC ID: 3577464916
Enrollment ID: O20040119000050
Entity NameBlack River Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20040128000517
Entity NamePrairie Du Chien Memorial Hospital Association, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619024197
PECOS PAC ID: 4981698537
Enrollment ID: O20040414001308
Entity NameSt Joseph's Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104031798
PECOS PAC ID: 3971586439
Enrollment ID: O20040615000273
Entity NameTri-county Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124063573
PECOS PAC ID: 4587642418
Enrollment ID: O20040708000696
Entity NameVernon Memorial Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497750921
PECOS PAC ID: 8325958416
Enrollment ID: O20050526000095
Entity NameVernon Memorial Healthcare Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1497750921
PECOS PAC ID: 8325958416
Enrollment ID: O20101117000959
Entity NameRichland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659301273
PECOS PAC ID: 7618861618
Enrollment ID: O20110318000356
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254
Entity NamePalmer Lutheran Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891744108
PECOS PAC ID: 4284544255
Enrollment ID: O20170127002157
Entity NameSaint Elizabeths Hospital Of Wabasha Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659355600
PECOS PAC ID: 5092619387
Enrollment ID: O20171103000047

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 Heather Jo Wichman 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 AddressPractice Location Address
Dr Heather Jo Wichman, MD
1900 South Ave,
La Crosse, WI 54601-5467

Ph: (608) 775-6569		Dr Heather Jo Wichman, MD
1900 South Ave,
La Crosse, WI 54601-5467

Ph: (608) 775-6569

Reviews and Comments


Radiology Doctors in La Crosse, WI

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Brian R Manske, MD
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Robert E Wax, MD
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Douglas G Gold, MD
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Mark C Wickre, MD
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Medicare: Accepting Medicare Assignments
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Dr. Ezana M Azene, MD, PHD
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Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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