Kennedi Wickham, - Dermatology in Glenn Dale, MD

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Kennedi Wickham, is a Dermatology physician based in Glenn Dale, Maryland. Kennedi Wickham is licensed to practice in Maryland (license number C0010599) and her current practice location is 12200 Annapolis Rd Ste 315, Glenn Dale, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 249-0970.

NPI number for Kennedi Wickham is 1225955545 and her current mailing address is 13917 Rockingham Rd, Germantown, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225955545.

Contact Information

Kennedi Wickham,
12200 Annapolis Rd Ste 315,
Glenn Dale, MD 20769-9182
(301) 249-0970
Not Available

Map and Direction




Physician's Profile

Full NameKennedi Wickham
GenderFemale
SpecialityDermatology
Location12200 Annapolis Rd Ste 315, Glenn Dale, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225955545
  • Provider Enumeration Date: 06/30/2026
  • Last Update Date: 06/30/2026

Medical Identifiers

Medical identifiers for Kennedi Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225955545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology C0010599 (Maryland)Primary

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. Kennedi Wickham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kennedi Wickham,
13917 Rockingham Rd,
Germantown, MD 20874-2230

Ph: () -		Kennedi Wickham,
12200 Annapolis Rd Ste 315,
Glenn Dale, MD 20769-9182

Ph: (301) 249-0970

Reviews and Comments


Dermatology Doctors in Glenn Dale, MD

Dr. Valerie Dawn Callender, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 12200 Annapolis Rd, Suite 315, Glenn Dale, MD 20769
Phone: 301-249-0970    Fax: 301-249-4246

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.