Thomas Robert Wickham, DO, MPH in Fitchburg, MA

Thomas Robert Wickham, DO, MPH is a medicare enrolled "Family Medicine" physician in Fitchburg, Massachusetts. His current practice location is 155 Franklin Rd, Fitchburg, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 345-1919.

Thomas Robert Wickham is licensed to practice in Massachusetts (license number 1014436) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295363091.

Contact Information

	Thomas Robert Wickham, DO, MPH
	155 Franklin Rd, Fitchburg, MA 01420-5140
	(978) 345-1919
	(978) 342-6240

Map and Direction

Physician's Profile

Full Name	Thomas Robert Wickham
Gender	Male
Speciality	Family Medicine
Location	155 Franklin Rd, Fitchburg, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295363091
Provider Enumeration Date: 03/29/2020
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 1052731825
Enrollment ID: I20230803004508

Medical Identifiers

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

Identifier	Type	State	Issuer
1295363091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1014436 (Massachusetts)	Primary

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. Thomas Robert Wickham allows following entities to bill medicare on his behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

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. Thomas Robert 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
Thomas Robert Wickham, DO, MPH Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Thomas Robert Wickham, DO, MPH 155 Franklin Rd, Fitchburg, MA 01420-5140 Ph: (978) 345-1919

Reviews and Comments

Family Medicine Doctors in Fitchburg, MA

Dr. Hannah M. Coates, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 370 Lunenburg St, Fitchburg, MA 01420 Phone: 978-345-1040 Fax: 978-348-1286
Michele P Pugnaire, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 326 Nichols Rd, Fitchburg, MA 01420 Phone: 978-343-5270
Dr. Bernard A Westerling Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 Franklin Rd, Fitchburg, MA 01420 Phone: 978-343-9400 Fax: 978-342-0152
Dr. Diederik Frederik Meursing, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 326 Nichols Rd, Fitchburg, MA 01420 Phone: 978-878-8100
Deepthi Pandraju, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Whalon St Ste 2a, Fitchburg, MA 01420 Phone: 978-345-1700
Eric J. Rosenthal, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Nichols Rd, Fitchburg, MA 01420 Phone: 978-343-5270 Fax: 978-343-5390

Thomas Robert Wickham, DO, MPH - Medicare Family Medicine in Fitchburg, MA