Bridget Wickstrom, PA-C in Clarinda, IA - Medicare Emergency Medicine

Bridget Wickstrom, PA-C is a medicare enrolled "Emergency Medicine" physician in Clarinda, Iowa. Her current practice location is 200 Essie Davidson Dr, Clarinda, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 542-2176.

Bridget Wickstrom is licensed to practice in Iowa (license number 107523) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336727858.

Contact Information

	Bridget Wickstrom, PA-C
	200 Essie Davidson Dr, Clarinda, IA 51632
	(712) 542-2176
	Not Available

Physician's Profile

Full Name	Bridget Wickstrom
Gender	Female
Speciality	Emergency Medicine
Location	200 Essie Davidson Dr, Clarinda, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336727858
Provider Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 1153739792
Enrollment ID: I20210420000375

Medical Identifiers

Medical identifiers for Bridget Wickstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336727858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	107523 (Iowa)	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. Bridget Wickstrom 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
Bridget Wickstrom, PA-C 200 Essie Davidson Dr, Clarinda, IA 51632 Ph: (712) 542-2176	Bridget Wickstrom, PA-C 200 Essie Davidson Dr, Clarinda, IA 51632 Ph: (712) 542-2176

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Bridget Wickstrom, PA-C - Medicare Emergency Medicine in Clarinda, IA