MEDICARE: AMY WICKE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA04282	TX
2	363AM0700X	Medical Physician Assistant	PA04282	TX

General Provider Information

NPI Number	:	1568465722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY WICKE PA-C

Provider Business Mailing Address
First Line	:	100 W DEAN KEETON ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712-1091
Country	:	US
Telephone Number	:	512-471-4955
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 W DEAN KEETON ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712-1091
Country	:	US
Telephone Number	:	512-471-4955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	02/16/2024

Similar Medicare Providers

1720082431 — DR. TIMOTHY L SPRADLIN M.D.
Practice Location Address:

100 W DEAN KEETON ST
AUSTIN, TX
78712-1091

Practice Phone: 512-475-8235
Practice Fax: 512-475-9693

1629069299 — MELISSA GAIL INGA ESHELMAN MD
Practice Location Address:

100 W DEAN KEETON ST , STOP A3500
AUSTIN, TX
78712-1091

Practice Phone: 512-475-6920
Practice Fax: 512-475-9246

1164495677 — LAURA MAURER GOODELL M.D.
Practice Location Address:

100 W DEAN KEETON ST
AUSTIN, TX
78712-1091

Practice Phone: 512-471-4955
Practice Fax:

1467421818 — DR. SHALINI TEWARI MD
Practice Location Address:

100 W DEAN KEETON ST
AUSTIN, TX
78712-1091

Practice Phone: 512-475-8315
Practice Fax:

1053342758 — AMY GRAF CNM
Practice Location Address:

100 W DEAN KEETON ST
AUSTIN, TX
78712-1091

Practice Phone: 512-491-4955
Practice Fax:

1932118015 — DR. MARK ALAN ZENTNER PH.D.
Practice Location Address:

100 W DEAN KEETON ST FL 5
AUSTIN, TX
78712-1091

Practice Phone: 512-475-6922
Practice Fax:

Directions to “ AMY WICKE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.