Dale Alan Wickstrum, MD - Medicare Radiology in Tallahassee, FL

Dale Alan Wickstrum, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Tallahassee, Florida. His current practice location is 2003 Centre Pointe Blvd, Tallahassee, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 878-2273.

Dale Alan Wickstrum is licensed to practice in Florida (license number ME0035684) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306890322.

Contact Information

Dale Alan Wickstrum, MD
2003 Centre Pointe Blvd,
Tallahassee, FL 32308-4893
(850) 878-2273
(850) 671-5900



Physician's Profile

Full NameDale Alan Wickstrum
GenderMale
SpecialityRadiology - Radiation Oncology
Location2003 Centre Pointe Blvd, Tallahassee, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306890322
  • Provider Enumeration Date: 05/22/2006
  • Last Update Date: 11/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3577524578
  • Enrollment ID: I20111121000166

Medical Identifiers

Medical identifiers for Dale Alan Wickstrum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306890322NPI-NPPES
051677500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology ME0035684 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dale Alan Wickstrum allows following entities to bill medicare on his behalf.
Entity NameNorth Florida Cancer Center Tallahassee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952398448
PECOS PAC ID: 6800837048
Enrollment ID: O20050518000065

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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. Dale Alan Wickstrum 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 AddressPractice Location Address
Dale Alan Wickstrum, MD
Po Box 14446,
Tallahassee, FL 32317-4446

Ph: (850) 222-4858
Dale Alan Wickstrum, MD
2003 Centre Pointe Blvd,
Tallahassee, FL 32308-4893

Ph: (850) 878-2273

News Archive

Donations made, agreements signed to fight polio in advance of Global Vaccine Summit

Hundreds of international health experts and leaders from the public and private sectors are gathered in Abu Dhabi Wednesday for the beginning of the first Global Vaccine Summit, which "is expected to place special emphasis on polio eradication," Gulf News reports (Zaman, 4/23).

NYUCD to offer accelerated AAS degree in dental hygiene from January 2015

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New biomarker can track mitochondrial activity in lung tumors

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Read more News

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Radiology Doctors in Tallahassee, FL

Steven G Ostrov, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Phillips Rd, Tallahassee, FL 32308
Phone: 850-878-4127    Fax: 850-878-0337
Daniel B Yang, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Phillips Rd, Tallahassee, FL 32308
Phone: 850-878-4127    Fax: 850-878-0337
Philip Vance Sharp, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1775 One Healing Place, Tmhpp Radiation Oncology Specialists, Tallahassee, FL 32308
Phone: 850-431-5255    Fax: 850-431-6039
Dr. Bruce Alan Rodan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3259 Updike Ave, Tallahassee, FL 32311
Phone: 850-765-0233    
Maribel U Lockwood, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Phillips Rd, Tallahassee, FL 32308
Phone: 850-878-4127    Fax: 850-878-0337
Dr. Eric Howe Loevinger, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1607 Saint James Ct, Tallahassee, FL 32308
Phone: 850-878-0191    Fax: 850-878-8900
Brook Jacob Hill, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Phillips Rd, Tallahassee, FL 32308
Phone: 850-878-4127    

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