Joshua James Wickstrom, MD | |
395 Northwood Dr, Centre, AL 35960-1045 | |
(256) 927-4900 | |
Not Available |
Full Name | Joshua James Wickstrom |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 395 Northwood Dr, Centre, Alabama |
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 |
---|---|---|---|
1275026908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 89035 (Georgia) | Secondary |
207Q00000X | Family Medicine | 42431 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cherokee Medical Center | Centre, AL | Hospital |
Floyd Medical Center | Rome, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Floyd Cherokee Medical Center Llc | 4880949775 | 8 |
Floyd Healthcare Management Inc | 5193633386 | 109 |
Entity Name | Floyd Healthcare Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689610149 PECOS PAC ID: 5193633386 Enrollment ID: O20040127000897 |
Mailing Address | Practice Location Address |
---|---|
Joshua James Wickstrom, MD 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 Ph: (706) 509-3358 | Joshua James Wickstrom, MD 395 Northwood Dr, Centre, AL 35960-1045 Ph: (256) 927-4900 |
Dr. Brian Alan Perry, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 Northwood Dr, Centre, AL 35960 Phone: 256-927-3607 Fax: 256-927-3606 | |
Dr. William Barton Perry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Northwood Dr, Centre, AL 35960 Phone: 256-927-3607 Fax: 256-927-3606 | |
Kathleen A Duryea, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 391 Northwood Dr, Centre, AL 35960 Phone: 256-927-7412 Fax: 256-927-7416 | |
Dr. Clinton Joseph Allen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Northwood Dr, Centre, AL 35960 Phone: 256-927-3607 Fax: 256-927-3606 | |
Ryan D. Rainer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 Northwood Dr, Centre, AL 35960 Phone: 256-927-4900 Fax: 256-927-9151 |