GREGORY M. WICKERN M.D. – NPI #1972578672
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

Health Care Provider Taxonomy Code for Allergy & Immunology

GREGORY WICKERN is an allergy & immunologist located in TWIN FALLS, ID. NPPES has assigned the NPI number 1972578672 to GREGORY WICKERN on February 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 6 years ago on Nov 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREGORY WICKERN below.

NPI Profile for
GREGORY M. WICKERN

NPI Number
1972578672
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GREGORY M. WICKERN
Credentials
M.D.
Primary location
1502 LOCUST ST N STE 600
TWIN FALLS, ID 83301-4164
Phone: (208) 734-6091 Fax: (208) 734-4654
Mailing address
800 FALLS AVE
SUITE #2
TWIN FALLS, ID 83301-3366
Phone: (208) 734-6091 Fax: (208) 734-4654
Sole Proprietor
No
Updated
Certification Date
Nov 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)		 ID M-10495
207K00000X
- Allergy & Immunology		 NV 13018

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES F. EDWARD HEBERT SCHOOL OF MEDICINE - Graduated 1985
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GREGORY WICKERN is affiliated with the following medical group(s):
  • HOSPITAL
    • ST LUKES MAGIC VALLEY MEDICAL CENTER
      801 POLE LINE ROAD WEST
      TWIN FALLS, ID 83301

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.