Dr Otto William Wickstrom Iii, MD - Medicare Hand Surgery in Bloomington, IN

Dr Otto William Wickstrom Iii, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Bloomington, Indiana. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and his current practice location is 583 S Clarizz Blvd, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 333-2663.

Dr Otto William Wickstrom Iii is licensed to practice in Washington (license number MD61074238) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487826939.

Contact Information

Dr Otto William Wickstrom Iii, MD
583 S Clarizz Blvd,
Bloomington, IN 47401-5515
(812) 333-2663
(812) 349-9206



Physician's Profile

Full NameDr Otto William Wickstrom Iii
GenderMale
SpecialityHand Surgery
Experience21 Years
Location583 S Clarizz Blvd, Bloomington, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Otto William Wickstrom Iii graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1487826939
  • Provider Enumeration Date: 03/25/2008
  • Last Update Date: 04/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648322073
  • Enrollment ID: I20090716000303

Medical Identifiers

Medical identifiers for Dr Otto William Wickstrom Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487826939NPI-NPPES
200931500MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD61074238 (Washington)Secondary
207XS0106XOrthopaedic Surgery - Hand Surgery MD61074238 (Washington)Primary
174400000XSpecialist 01065381A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Bloomington HospitalBloomington, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Southern Indiana Physicians Llc6204748197449

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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. Dr Otto William Wickstrom Iii allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Southern Indiana Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556

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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. Dr Otto William Wickstrom Iii 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
Dr Otto William Wickstrom Iii, MD
583 S Clarizz Blvd,
Bloomington, IN 47401-5515

Ph: () -
Dr Otto William Wickstrom Iii, MD
583 S Clarizz Blvd,
Bloomington, IN 47401-5515

Ph: (812) 333-2663

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Orthopaedic Surgery Doctors in Bloomington, IN

Dr. Brandon Royce Hood, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401
Phone: 812-333-2663    
Dr. Timothy Martin Steiner, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401
Phone: 812-333-2663    Fax: 812-349-6206
Anthony A Mcpherron, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Rex Grossman Blvd, Bloomington, IN 47403
Phone: 317-944-9400    Fax: 317-963-1955
Dr. Gregory M Fox, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 639 S Walker St, Suite E, Bloomington, IN 47403
Phone: 812-333-4000    Fax: 812-333-0611
James Robert Lindner, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401
Phone: 812-333-1933    Fax: 812-333-3991
Dale Dellacqua, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 639 S Walker St, Suite E, Bloomington, IN 47403
Phone: 812-333-4000    Fax: 812-333-0611

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