Andrea Denise Wickersham (NPI# 1942705652, PAC ID# 9133484132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1942705652 |
| PAC ID by PECOS | 9133484132 |
| Professional Enrollment ID | I20180522001758 |
| Full Name | Andrea Denise Wickersham |
| Organization Legal Name | PPL THERAPEUTIC SERVICES PLLC |
| Address |
117 Old Soldiers Ln Frankfort KY 40601-6159 |
| Phone Number | 5028757272 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 8527323989 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 117 Old Soldiers Ln, Frankfort, KY 40601-6159 | 5028757272 | PPL THERAPEUTIC SERVICES PLLC |
| 4200 Lawrenceburg Rd, Frankfort, KY 40601-8415 | 5022274821 | PPL THERAPEUTIC SERVICES PLLC |
| Organization Legal Name | PPL THERAPEUTIC SERVICES PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trinity D Thomas | Nurse Practitioner | Ppl Therapeutic Services Pllc | 1608 Versailles Rd, Lexington, KY 40504-2402 |
| Mary E Sweeney | Psychologist, Clinical | Ppl Therapeutic Services Pllc | 1705 Herr Ln, Louisville, KY 40222-6545 |
| Jennifer Yost Vaden | Nurse Practitioner | Ppl Therapeutic Services Pllc | 3802 Turkeyfoot Rd, Elsmere, KY 41018-2838 |
| Heather L Drawe | Psychologist, Clinical | Ppl Therapeutic Services Pllc | 1012 Richwood Way, La Grange, KY 40031-8930 |
| Jeffrey L Hicks | Psychologist, Clinical | Ppl Therapeutic Services Pllc | 7400 Friendship Dr, Pewee Valley, KY 40056-9190 |
| Street Address |
117 OLD SOLDIERS LN |
| City | FRANKFORT |
| State | KY |
| Zip | 40601-6159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Mccoy | Nurse Practitioner | Christy Mccoy LLC | 117 Old Soldiers Ln, Frankfort, KY 40601-6159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Fricker Jr | Podiatry | Frankfort Foot Clinic, Pllc | 5 Physician Park Dr, Suite 3, Frankfort, KY 40601 |
| Irma L Altamirano | Podiatry | Frankfort Foot Clinic, Pllc | 5 Physician Park Dr, Suite 3, Frankfort, KY 40601 |
| Danny W Thacker | Physician Assistant | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| John K Shekleton | Internal Medicine | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Amy Antle | Physician Assistant | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Susan L Payton | Nurse Practitioner | 1008 Mojave Trl, Frankfort, KY 40601-1756 | |
| D K Adams | Chiropractic | 692 Teton Trl, Frankfort, KY 40601-1766 | |
| Tammy N Bailey | Nurse Practitioner | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Richard Susner | Clinical Social Worker | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Kimberly A Haubner | Clinical Social Worker | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Find all physicians in zip 40601 | |||
| City | FRANKFORT |
| Zip Code | 40601 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FRANKFORT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Andrea Denise Wickersham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.