Vicki Lynn Waedekin, PA is a
Physician Assistant based in Wales, Wisconsin. Vicki Lynn Waedekin is licensed to practice in Wisconsin (license number 923-023) and her current practice location is
144 E Summit Ave, Wales, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 968-6161.
NPI number for Vicki Lynn Waedekin is 1164408100 and her current mailing address is 144 E Summit Ave, Wales, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164408100.
Provider's Profile
| Full Name | Vicki Lynn Waedekin |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
|---|
| Location | 144 E Summit Ave, Wales, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164408100
- Provider Enumeration Date: 12/21/2005
- Last Update Date: 12/06/2021
Medical Identifiers
Medical identifiers for Vicki Lynn Waedekin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164408100 | NPI | - | NPPES |
| 42981900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 923-023 (Wisconsin) | 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. Vicki Lynn Waedekin 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 |
|---|
Vicki Lynn Waedekin, PA
144 E Summit Ave,
Wales, WI 53183-9546
Ph: (262) 968-6161 | Vicki Lynn Waedekin, PA
144 E Summit Ave,
Wales, WI 53183-9546
Ph: (262) 968-6161 |
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