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. She went to Georgetown University School Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice University Of Vermont Medical Center Inc, Central Vermont Medical Center Inc, Yale University and 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 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 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
Experience9 Years
Location130 Fisher Rd Ste 3-1, Berlin, Vermont
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 Johanna Lee Wickemeyer attended and graduated from Georgetown University School Of Medicine in 2017
  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: I20250913000492

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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Central Vermont Medical CenterBarre, VTHospital
Univ. Of Vermont - Fletcher Allen Health CareBurlington, VTHospital
Bridgeport HospitalBridgeport, CTHospital
Copley HospitalMorrisville, VTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Vermont Medical Center Inc37794910711197
Central Vermont Medical Center Inc9335138817244
Yale University94360617362644

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.