| Wilson Hickman, CRNP | |
|
95 Leonard Avenue, Building 2, 4th Floor, Washington, PA 15301 | |
| (724) 223-3673 | |
| Not Available |
| Full Name | Wilson Hickman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 95 Leonard Avenue, Washington, Pennsylvania |
| 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 |
|---|---|---|---|
| 1316493687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP016282 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pennsylvania Hospitalist Group, Llc | 3870035611 | 59 |
| Entity Name | Washington Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316917669 PECOS PAC ID: 6103719562 Enrollment ID: O20040209000011 |
| Entity Name | Advanced Inpatient Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871725366 PECOS PAC ID: 6406995778 Enrollment ID: O20091125000458 |
| Entity Name | Advanced Inpatient Medicine Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396168589 PECOS PAC ID: 8921230749 Enrollment ID: O20140410000089 |
| Entity Name | Advanced Inpatient Medicine Lehigh Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437537875 PECOS PAC ID: 7416269741 Enrollment ID: O20150630000466 |
| Entity Name | Hospitalist Services At Moses Taylor, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497366207 PECOS PAC ID: 7911326509 Enrollment ID: O20201001000073 |
| Entity Name | Pennsylvania Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558126342 PECOS PAC ID: 3870035611 Enrollment ID: O20240607000668 |
| Entity Name | Adfinitas Health Palliative Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710734785 PECOS PAC ID: 0042609307 Enrollment ID: O20240628001823 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Hickman, CRNP 997 N. Main Street, Washington, PA 15301 Ph: (724) 222-2577 | Wilson Hickman, CRNP 95 Leonard Avenue, Building 2, 4th Floor, Washington, PA 15301 Ph: (724) 223-3673 |
John Creese, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 640 Jefferson Ave, Washington, PA 15301 Phone: 724-374-3468 | |
Hannah Marze Mickey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 W Beau St Ste 200, Washington, PA 15301 Phone: 724-228-7400 | |
Bonita R. Clayton, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 741 Locust Avenue, Washington, PA 15301 Phone: 724-906-4798 Fax: 724-918-9068 | |
Mrs. Kimberly June Heckman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-579-1654 | |
Kelly Kern, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Locust Ave, Washington, PA 15301 Phone: 724-222-2577 Fax: 724-228-5849 | |
Carlin Rose Gerba, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-223-3800 | |
Ms. Karen J. Coleman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Wilson Ave, Washington, PA 15301 Phone: 724-223-3085 |