Dr Johanna Lee Wickemeyer, MD - Medicare Otolaryngology in Berlin, VT

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Dr Johanna Lee Wickemeyer, MD is a medicare enrolled "Otolaryngology" physician in Berlin, Vermont. Her current practice location is 130 Fisher Rd Ste 3-1, Berlin, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 225-7025.

Dr Johanna Lee Wickemeyer is licensed to practice in Vermont (license number 042.0018725) 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 1902337033.

Contact Information

Dr Johanna Lee Wickemeyer, MD
130 Fisher Rd Ste 3-1,
Berlin, VT 05602-9000
(802) 225-7025
Not Available

Map and Direction




Physician's Profile

Full NameDr Johanna Lee Wickemeyer
GenderFemale
SpecialityOtolaryngology
Location130 Fisher Rd Ste 3-1, Berlin, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902337033
  • Provider Enumeration Date: 03/21/2017
  • Last Update Date: 09/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436424751
  • Enrollment ID: I20231026000982

Medical Identifiers

Medical identifiers for Dr Johanna Lee Wickemeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902337033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 042.0018725 (Vermont)Primary
207YS0012XOtolaryngology - Sleep Medicine 74545 (Connecticut)Secondary
207Y00000XOtolaryngology 74545 (Connecticut)Secondary
207YS0012XOtolaryngology - Sleep Medicine 042.0018725 (Vermont)Secondary

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 Johanna Lee Wickemeyer allows following entities to bill medicare on her behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015

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 Johanna Lee Wickemeyer 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 Johanna Lee Wickemeyer, MD
111 Colchester Ave,
Burlington, VT 05401-1473

Ph: (802) 847-0000		Dr Johanna Lee Wickemeyer, MD
130 Fisher Rd Ste 3-1,
Berlin, VT 05602-9000

Ph: (802) 225-7025

Reviews and Comments


Otolaryngology Doctors in Berlin, VT

Dr. James Gary Rose, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 130 Fisher Rd, Suite 3-1, Berlin, VT 05602
Phone: 802-225-7025    Fax: 802-225-7104

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.