Dr Otto William Wickstrom Iii, MD in Bloomington, IN

Dr Otto William Wickstrom Iii, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Bloomington, Indiana. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and his current practice location is 583 S Clarizz Blvd, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 333-2663.

Dr Otto William Wickstrom Iii is licensed to practice in Washington (license number MD61074238) 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 1487826939.

Contact Information

	Dr Otto William Wickstrom Iii, MD
	583 S Clarizz Blvd, Bloomington, IN 47401-5515
	(812) 333-2663
	(812) 349-9206

Map and Direction

Physician's Profile

Full Name	Dr Otto William Wickstrom Iii
Gender	Male
Speciality	Hand Surgery
Experience	21 Years
Location	583 S Clarizz Blvd, Bloomington, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Otto William Wickstrom Iii graduated from medical school in 2003

NPI Data:

NPI Number: 1487826939
Provider Enumeration Date: 03/25/2008
Last Update Date: 04/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0648322073
Enrollment ID: I20090716000303

Medical Identifiers

Medical identifiers for Dr Otto William Wickstrom Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487826939	NPI	-	NPPES
200931500	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	MD61074238 (Washington)	Secondary
207XS0106X	Orthopaedic Surgery - Hand Surgery	MD61074238 (Washington)	Primary
174400000X	Specialist	01065381A (Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Bloomington Hospital	Bloomington, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Southern Indiana Physicians Llc	6204748197	449

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 Otto William Wickstrom Iii allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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 Otto William Wickstrom Iii 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
Dr Otto William Wickstrom Iii, MD 583 S Clarizz Blvd, Bloomington, IN 47401-5515 Ph: () -	Dr Otto William Wickstrom Iii, MD 583 S Clarizz Blvd, Bloomington, IN 47401-5515 Ph: (812) 333-2663

Reviews and Comments

Orthopaedic Surgery Doctors in Bloomington, IN

Dr. Brandon Royce Hood, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-333-2663
Dr. Timothy Martin Steiner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2663 Fax: 812-349-6206
Anthony A Mcpherron, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2800 Rex Grossman Blvd, Bloomington, IN 47403 Phone: 317-944-9400 Fax: 317-963-1955
Dr. Gregory M Fox, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 639 S Walker St, Suite E, Bloomington, IN 47403 Phone: 812-333-4000 Fax: 812-333-0611
James Robert Lindner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-333-1933 Fax: 812-333-3991
Dale Dellacqua, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 639 S Walker St, Suite E, Bloomington, IN 47403 Phone: 812-333-4000 Fax: 812-333-0611

Dr Otto William Wickstrom Iii, MD - Medicare Hand Surgery in Bloomington, IN