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ELIZABETH A WICKERSHAM M.D.
NPI 1992706048
Family Medicine in Oklahoma City, OK

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
4345 W MEMORIAL RD, SUITE 110, OKLAHOMA CITY, OK 73134(405) 418-7000(405) 418-7099 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth A Wickersham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH A WICKERSHAM M.D. (NPI 1992706048) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (20273) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and is a graduate of University Of Oklahoma College Of Medicine (1996).

NPPES Registry Identity

NPI1992706048
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH A WICKERSHAMCredential: M.D.
Location Address4345 W MEMORIAL RD, SUITE 110Oklahoma City, OK 73134-1702
Mailing Address4345 W Memorial Rd, Suite 110Oklahoma City, OK 73134-1702 · (405) 418-7000 · Fax (405) 418-7099
Phone(405) 418-7000
Fax(405) 418-7099
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1996
Enumeration DateAugust 10, 2005
Last NPPES UpdateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1992706048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 20273
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 20273 (OK)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 20273 (OK)
4345 W MEMORIAL RD, Oklahoma City, OK 73134
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Other Identifiers 1

Medicaid200036870AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CareSource, CommunityCare and more.Insurance ›

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

Elizabeth A Wickersham M.d. 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.

PECOS PAC ID8224924337
PECOS Enrollment IDI20040228000307
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
132 services57 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
121 services41 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
87 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services39 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
35 services26 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370022
Location1200 East Pecan StAltus, OK 73521 · Jackson County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUNEER AHMAD KHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4345 W MEMORIAL RD, SUITE 110
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 951-4160
ROGER E. SMITH JR. MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4345 W MEMORIAL RD, SUITE 110
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 951-4160
BRENT KEITH HOLLIMAN PA-C
Physician Assistant
4345 W MEMORIAL RD, SUITE 200
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 936-5814
DESTINY HILL
Dietitian, Registered
4345 W MEMORIAL RD
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-3087
KIMBERLY HUMMER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4345 W MEMORIAL RD, SUITE 110
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 951-4160
EMILY GEURIN MCLAIN PA-C
Physician Assistant
4345 W MEMORIAL RD, SUITE 110
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 951-4160
MERCY CARE LLC
Family Medicine
4345 W MEMORIAL RD, STE 110
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 749-7099

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 Elizabeth Wickersham's NPI number?

The NPI number for Elizabeth Wickersham is 1992706048. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Elizabeth Wickersham located?

Elizabeth Wickersham practices at 4345 W Memorial Rd Suite 110, Oklahoma City, OK 73134. The listed phone number is (405) 418-7000.

What is Elizabeth Wickersham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elizabeth Wickersham enrolled in Medicare?

Yes. Elizabeth Wickersham 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.

What insurance does Elizabeth Wickersham accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CareSource, CommunityCare, Medica and Mending Health list Elizabeth Wickersham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elizabeth Wickersham affiliated with any hospitals?

According to CMS data, Elizabeth Wickersham is affiliated with Jackson County Memorial Hospital Authority, Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Elizabeth Wickersham was last updated on October 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.