Mary Elizabeth Wickline, PA-C is a
Physician Assistant based in Lindside, West Virginia. Mary Elizabeth Wickline is licensed to practice in * (Not Available) (license number ) and her current practice location is
142 James Monroe Dr, Lindside, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 753-5940.
NPI number for Mary Elizabeth Wickline is 1285162693 and her current mailing address is Po Box 590, Union, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285162693.
Provider's Profile
| Full Name | Mary Elizabeth Wickline |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 142 James Monroe Dr, Lindside, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285162693
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 01/29/2025
Medical Identifiers
Medical identifiers for Mary Elizabeth Wickline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285162693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Mary Elizabeth Wickline is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Elizabeth Wickline, PA-C
Po Box 590,
Union, WV 24983-0590
Ph: (304) 772-3064 | Mary Elizabeth Wickline, PA-C
142 James Monroe Dr,
Lindside, WV 24951-7168
Ph: (304) 753-5940 |
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