Eddie J Wickline is a Elkhart, Indiana based nurse anesthetist with 38 years of experience as Anesthesia Administration. He completed he graduation in 1987. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Eddie J Wickline is 28137996A for Anesthesia Administration in Indiana. his current practice location is 2310 California Rd, Ste A, Elkhart. Patients can reach him at 574-264-0791 or can fax him at 574-262-9650. Eddie J Wickline is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1891805503. Eddie J Wickline is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Eddie J Wickline speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
38+ years
Medical School Attended:
Other
Graduation Year:
1987
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2310 California Rd, Ste A, Elkhart, Indiana, 46514-1228
Phone:
574-264-0791
Fax:
574-262-9650
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1557534211
Enrollment ID:
I20111026000148
NPI Number:
1891805503
NPI Enumeration Date:
30 Aug, 2006
NPI Last Update On:
12 Oct, 2011
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eddie J Wickline are as mentioned below.
License Number
Specialization
State
Status
28137996A
Anesthesia Administration
Indiana
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Eddie J Wickline has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orthopedic And Sports Medicine Center Of Northern Indiana Inc (0840260105)
42
Other Medical Identifiers:
Other legacy medical identifiers associated with Eddie J Wickline such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200295510
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2310 California Rd, Ste A Elkhart, Indiana
Zip:
46514-1228
Phone Number:
574-264-0791
Fax Number:
574-262-9650
Patients can reach Eddie J Wickline at 2310 California Rd, Ste A, Elkhart, Indiana or can call to book an appointment on 574-264-0791.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.