Bonnie Beth Wickham, PA
NPI 1225058902ActiveIndividual· Physician Assistant· Palmer, AK
Physician Assistant (PA) with Medical Network of Alaska LLC, practicing in Palmer, Alaska. 47 Medicare patients in 2024, $3,534 paid; nearly all of their 81 Part D prescriptions were generic (94%). Lists St Charles Medical Center - Bend and 1 other hospital as hospital affiliations.
Overview
| NPI | 1225058902 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Aug 12, 2026 |
| Certified by provider | Aug 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA04799 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AK); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 66 across 21 procedure codes |
| Paid by Medicare | $3,534 |
Part D prescriptions in 2024
| Prescriptions (claims) | 81 · 153 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $996.60 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Medical Network of Alaska LLCEagle River, AK · 70 clinicians
Hospital affiliations
- St Charles Medical Center - BendBend, OR
- St Charles Medical Center PrinevillePrineville, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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