| Richard Wickenheiser, MD | |
|
2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | |
| (530) 527-0414 | |
| Not Available |
| Full Name | Richard Wickenheiser |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2450 Sister Mary Columba Dr, Red Bluff, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124153721 | NPI | - | NPPES |
| GR0089250 | Medicaid | CA | |
| RHM53955F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G49852 (California) | Primary |
| Entity Name | County Of Tehama |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043427388 PECOS PAC ID: 2668433269 Enrollment ID: O20050408001105 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Wickenheiser, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414 | Richard Wickenheiser, MD 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414 |
David Dahnke, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Dr. Neil Andrew Louwrens, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2440 Sister Mary Columba Dr Ste 300, Red Bluff, CA 96080 Phone: 888-633-1441 Fax: 888-633-1441 | |
Arjana Shakya, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Kerry S. Waits, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-529-8330 Fax: 530-529-8329 | |
Saeid Ahmadpour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 | |
Mr. Stephen Pacia Datu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 85 Sale Ln, Suite A, Red Bluff, CA 96080 Phone: 530-527-8688 Fax: 530-527-8561 |