| William L Wixom, DO | |
|
1000 S Main St, Tipton, IN 46072-9753 | |
| (765) 675-8397 | |
| (765) 675-6704 |
| Full Name | William L Wixom |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 36 Years |
| Location | 1000 S Main St, Tipton, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578594933 | NPI | - | NPPES |
| 000000851734 | Other | IN | ANTHEM PIN |
| 200116990 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 02001810A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 02001810A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverview Health | Noblesville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverview Hospital | 1153216627 | 184 |
| Entity Name | Riverview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Chiromed Plus Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881007722 PECOS PAC ID: 7416174347 Enrollment ID: O20140815001929 |
| Mailing Address | Practice Location Address |
|---|---|
| William L Wixom, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | William L Wixom, DO 1000 S Main St, Tipton, IN 46072-9753 Ph: (765) 675-8397 |
Dr. Charles Lai, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8521 Fax: 765-675-8520 | |
Sherif S Andrews, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main Street, Tipton, IN 46072 Phone: 765-675-8397 Fax: 765-675-6704 | |
James Riley Davidson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8391 Fax: 765-675-6704 |