| Dr Michael Quinn Wickham, MD | |
|
316 S Dunworth St, Visalia, CA 93292-6702 | |
| (559) 625-0601 | |
| (559) 625-1315 |
| Full Name | Dr Michael Quinn Wickham |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 22 Years |
| Location | 316 S Dunworth St, Visalia, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497929343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 200600790 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dominican Hospital | Santa cruz, CA | Hospital |
| Watsonville Community Hospital | Watsonville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Pathology Medical Group Inc | 0143261214 | 8 |
| Entity Name | Associated Pathology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932283264 PECOS PAC ID: 0143261214 Enrollment ID: O20050518001205 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Quinn Wickham, MD 316 S Dunworth St, Visalia, CA 93292-6702 Ph: (559) 625-0601 | Dr Michael Quinn Wickham, MD 316 S Dunworth St, Visalia, CA 93292-6702 Ph: (559) 625-0601 |
David S Hewitt, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 316 S Dunworth St, Visalia, CA 93292 Phone: 550-625-0601 Fax: 559-625-1315 | |
Thomas L. Volk, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5425 W Judy Ave, Visalia, CA 93277 Phone: 559-733-1894 | |
Dr. Phillip Edward Starshak, MD Pathology Medicare: Medicare Enrolled Practice Location: 316 S Dunworth St, Visalia, CA 93292 Phone: 559-625-0601 | |
John M Morrison, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 316 S Dunworth St, Visalia, CA 93292 Phone: 559-625-0601 Fax: 559-625-1315 |