Walter Jordan Wickham, DPT - Medicare Physical Therapy in Pocatello, ID

Walter Jordan Wickham, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Pocatello, Idaho. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Mcdonald Rehab, Pc and his current practice location is 1800 Flandro Dr Ste 190, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 233-2248.

Walter Jordan Wickham is licensed to practice in Idaho (license number PT-7106) 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 1346843802.

Contact Information

Walter Jordan Wickham, DPT
1800 Flandro Dr Ste 190,
Pocatello, ID 83202-4940
(208) 233-2248
Not Available



Physician's Profile

Full NameWalter Jordan Wickham
GenderMale
SpecialityPhysical Therapy
Experience4 Years
Location1800 Flandro Dr Ste 190, Pocatello, Idaho
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:
  • Walter Jordan Wickham graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1346843802
  • Provider Enumeration Date: 11/18/2020
  • Last Update Date: 11/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2163834409
  • Enrollment ID: I20201210002075

Medical Identifiers

Medical identifiers for Walter Jordan Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346843802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation PT-7106 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcdonald Rehab, Pc216350560313

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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. Walter Jordan Wickham allows following entities to bill medicare on his behalf.
Entity NameMcdonald Rehab, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497948509
PECOS PAC ID: 2163505603
Enrollment ID: O20080207000254

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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. Walter Jordan 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
Walter Jordan Wickham, DPT
1800 Flandro Dr Ste 190,
Pocatello, ID 83202-4940

Ph: (208) 233-2248
Walter Jordan Wickham, DPT
1800 Flandro Dr Ste 190,
Pocatello, ID 83202-4940

Ph: (208) 233-2248

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Physical Medicine & Rehabilitation Doctors in Pocatello, ID

Jonathan Hancock Goodman, DPT
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202
Phone: 208-233-2248    Fax: 208-233-0219
Dr. Max Esposito, PT, DPT
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1400 E Terry Dr, Pocatello, ID 83209
Phone: 208-282-2590    
Carolyn Frances Weber, DPT
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 754 Washington Ave, Pocatello, ID 83201
Phone: 505-412-8384    Fax: 208-908-7115
Dr. Austin Cliff Myers, MD, MBA
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-2722    Fax: 208-239-3759
James R Collet, MD
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: Portneuf Medical Center, 651 Memorial Drive, Pocatello, ID 83201
Phone: 208-239-2020    Fax: 208-239-3737
Mr. Russ Mcaffee, A.T.C.
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 275 S. 5th Ave., Ste. 140, Pocatello, ID 83201
Phone: 208-232-4267    

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