Marshall Wickens, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101011160 Issued in MI

Practice address

207 S Chestnut St Unit B
Reed City, MI 49677-1205

Phone

(231) 832-9488

Fax

(231) 832-9348

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Visiting Nurse Association Home health agency, Grand Rapids, MI, CCN 237007
• Residential Home Health and Hospice Home health agency, Saginaw, MI, CCN 239152
• Munson Home Care Home health agency, Traverse City, MI, CCN 237025
• Corewell Health Reed City Hospital Hospital, Reed City, MI, CCN 231323
• Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marshall R. Wickens DO, PC

  • Family Medicine Physician
  • Reed City, MI
  • NPI 1043616378
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mecosta County Medical Center

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  Care Compare affiliation
• Munson Home Care

  • Home Health Agency
  • Traverse City, MI
  • NPI 1326002577
  Care Compare affiliation
• Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Reed City Hospital Corporation

  • Critical Access Hospital
  • Reed City, MI
  • NPI 1437259843
  Care Compare affiliation
• Residential Home Health and Hospice, Inc.

  • Home Health Agency
  • Saginaw, MI
  • NPI 1083341168
  Care Compare affiliation
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation
• Visiting Nurse Services of Western Michigan

  • Home Health Agency
  • Grand Rapids, MI
  • NPI 1659356061
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1841263134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S CHESTNUT ST UNIT B",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496771205",
            "telephone_number": "231-832-9488",
            "fax_number": "231-832-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S CHESTNUT ST UNIT B",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496771205",
            "telephone_number": "231-832-9488",
            "fax_number": "231-832-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKENS",
        "first_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4592518",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Joy Vandertol, RN
• Kara Vega
• Jeffery Welch
• Rebecca J Wemple, LMSW
• West Michigan Heart
• Laura Williams
• Nicole Woodbury, LMSW
• Carissa Lynn Yeomans
• Anne York, RPH
• Mark Alan Zook, DO

• Family Medicine Physician in Reed City, MI
• Providers in Reed City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.