Kristin Wickham, MD - Medicare Family Practice in Madisonville, KY

Kristin Wickham, MD is a medicare enrolled "Family Medicine" physician in Madisonville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, Baptist Health Deaconess Medical Group Inc and her current practice location is 200 Clinic Dr, Madisonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 825-7200.

Kristin Wickham is licensed to practice in Kentucky (license number 52925) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013368968.

Contact Information

Kristin Wickham, MD
200 Clinic Dr,
Madisonville, KY 42431-1661
(270) 825-7200
Not Available



Physician's Profile

Full NameKristin Wickham
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location200 Clinic Dr, Madisonville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristin Wickham attended and graduated from University Of Louisville School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1013368968
  • Provider Enumeration Date: 06/22/2016
  • Last Update Date: 10/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8527359231
  • Enrollment ID: I20191017002100

Medical Identifiers

Medical identifiers for Kristin Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013368968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11018785A (Indiana)Secondary
207Q00000XFamily Medicine 52925 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Home CareMadisonville, KYHome health agency
Baptist Health MadisonvilleMadisonville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentucky Orthopedic Rehabilitation Llc0345157293683
Baptist Health Deaconess Medical Group Inc6103220330126

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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. Kristin Wickham allows following entities to bill medicare on her behalf.
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922401611
PECOS PAC ID: 5597867184
Enrollment ID: O20150219000942

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Entity NameBaptist Health Deaconess Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437730942
PECOS PAC ID: 6103220330
Enrollment ID: O20210810000993

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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. Kristin Wickham 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
Kristin Wickham, MD
2700 Stanley Gault Parkway Ste 129,
Louisville, KY 40225-5176

Ph: (502) 253-4900
Kristin Wickham, MD
200 Clinic Dr,
Madisonville, KY 42431-1661

Ph: (270) 825-7200

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Family Medicine Doctors in Madisonville, KY

Robert G. Holzknecht, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 444 S Main St, Madisonville, KY 42431
Phone: 270-821-4444    Fax: 270-821-9188
Richard G King, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-825-7200    
Catherine S Montz, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-825-6680    Fax: 270-825-7266
Michael Jones, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 230 Madison Square Dr Ste C, Madisonville, KY 42431
Phone: 270-821-6262    
Robert Lamont Wood, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-825-6680    Fax: 270-825-7266
Marium Iqbal,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-825-6680    Fax: 270-825-7266

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