Walter Jordan Wickham, DPT in Pocatello, ID - Medicare Physical Medicine & Rehabilitation

Walter Jordan Wickham, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Pocatello, Idaho. His current practice location is 1800 Flandro Dr Ste 190, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 233-2248.

Walter Jordan Wickham is licensed to practice in Idaho (license number PT-7106) 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 1346843802.

Contact Information

	Walter Jordan Wickham, DPT
	1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940
	(208) 233-2248
	Not Available

Map and Direction

Physician's Profile

Full Name	Walter Jordan Wickham
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	1800 Flandro Dr Ste 190, Pocatello, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346843802
Provider Enumeration Date: 11/18/2020
Last Update Date: 11/18/2020

Medicare PECOS Information:

PECOS PAC ID: 2163834409
Enrollment ID: I20201210002075

Medical Identifiers

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

Identifier	Type	State	Issuer
1346843802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	PT-7106 (Idaho)	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. Walter Jordan Wickham allows following entities to bill medicare on his behalf.

Entity Name	Mcdonald Rehab Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497948509 PECOS PAC ID: 2163505603 Enrollment ID: O20080207000254

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. Walter Jordan 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
Walter Jordan Wickham, DPT 1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940 Ph: (208) 233-2248	Walter Jordan Wickham, DPT 1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940 Ph: (208) 233-2248

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Pocatello, ID

Dr. Max Esposito, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1400 E Terry Dr, Pocatello, ID 83209 Phone: 208-282-2590
Carolyn Frances Weber, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 754 Washington Ave, Pocatello, ID 83201 Phone: 505-412-8384 Fax: 208-908-7115
Dr. Austin Cliff Myers, MD, MBA Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2722 Fax: 208-239-3759
James R Collet, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: Portneuf Medical Center, 651 Memorial Drive, Pocatello, ID 83201 Phone: 208-239-2020 Fax: 208-239-3737
Bryan Philip Lawson, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 920 Deon Dr, Ste D, Pocatello, ID 83201 Phone: 208-425-1470 Fax: 108-425-1471
Mr. Russ Mcaffee, A.T.C. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 275 S. 5th Ave., Ste. 140, Pocatello, ID 83201 Phone: 208-232-4267

Walter Jordan Wickham, DPT - Medicare Physical Medicine & Rehabilitation in Pocatello, ID