JILLIAN MARIE WICKHAM PA
NPI 1740929579
Physician Assistant - Medical in New York, NY
About Jillian Marie Wickham Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILLIAN MARIE WICKHAM PA (NPI 1740929579) is an individual medical provider in New York, New York and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Beth Israel, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jillian Marie Wickham Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai Beth Israel
Acute Care Hospitals · New York, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10011
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jillian Wickham's NPI number?
The NPI number for Jillian Wickham is 1740929579. It was assigned to this individual provider in the NPPES registry on May 31, 2022.
Where is Jillian Wickham located?
Jillian Wickham practices at 325 W 15th St, New York, NY 10011. The listed phone number is (212) 604-6000.
What is Jillian Wickham's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jillian Wickham enrolled in Medicare?
Yes. Jillian Wickham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jillian Wickham affiliated with any hospitals?
According to CMS data, Jillian Wickham is affiliated with Mount Sinai Beth Israel.
When was this NPI record last updated?
The NPPES record for Jillian Wickham was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jillian Marie Wickham, PA · NPI 1740929579
Medical physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 31, 2022.
## Identity
- **NPI:** 1740929579 (Entity type: Individual)
- **Enumerated:** May 31, 2022
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 325 W 15TH ST, New York, NY 10011-5903
- **Phone:** (212) 604-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740929579) · Data from the CMS NPPES public registry.