Kristin Wickham, MD in Madisonville, KY - Medicare Family Practice

Kristin Wickham, MD is a medicare enrolled "Family Medicine" physician in Madisonville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Baptist Health Deaconess Medical Group Inc, Kentucky Orthopedic Rehabilitation Llc and her current practice location is 200 Clinic Dr, Madisonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 825-7200.

Kristin Wickham is licensed to practice in Kentucky (license number 52925) 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 1013368968.

Contact Information

	Kristin Wickham, MD
	200 Clinic Dr, Madisonville, KY 42431-1661
	(270) 825-7200
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristin Wickham
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	200 Clinic Dr, Madisonville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristin Wickham attended and graduated from University Of Louisville School Of Medicine in 2016

NPI Data:

NPI Number: 1013368968
Provider Enumeration Date: 06/22/2016
Last Update Date: 10/15/2019

Medicare PECOS Information:

PECOS PAC ID: 8527359231
Enrollment ID: I20191017002100

Medical Identifiers

Medical identifiers for Kristin Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013368968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11018785A (Indiana)	Secondary
207Q00000X	Family Medicine	52925 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Home Care	Madisonville, KY	Home health agency
Baptist Health Madisonville	Madisonville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Health Deaconess Medical Group Inc	6103220330	126
Kentucky Orthopedic Rehabilitation Llc	0345157293	683

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. Kristin Wickham allows following entities to bill medicare on her behalf.

Entity Name	Baptist Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942

Entity Name	Baptist Health Deaconess Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993

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. Kristin Wickham 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
Kristin Wickham, MD 2700 Stanley Gault Parkway Ste 129, Louisville, KY 40225-5176 Ph: (502) 253-4900	Kristin Wickham, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200

Reviews and Comments

Family Medicine Doctors in Madisonville, KY

Robert G. Holzknecht, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188
Richard G King, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200
Catherine S Montz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266
Michael Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Madison Square Dr Ste C, Madisonville, KY 42431 Phone: 270-821-6262
Robert Lamont Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266
Marium Iqbal, Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266

Kristin Wickham, MD - Medicare Family Practice in Madisonville, KY