Individual ProviderCecile WyckaertAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3315 Watt Ave, Sacramento, CA 95821-3600(916) 481-0777(510) 625-2856PECOS EnrollmentBased on the most recent information from CMS, provider Cecile Wyckaert is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295710440Provider TypeIndividualFull NameWyckaert, CecileTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date12/9/2005Last Updated1/27/2022Contact InformationPractice LocationPractice Address3315 Watt Ave, Sacramento, CA 95821-3600Phone(916) 481-0777Fax(916) 481-1881Mailing LocationMailing Address1600 Eureka Rd, Roseville, CA 95661-3027Phone(510) 625-2856Fax(877) 738-4262Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseA89089CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA89089CaliforniaProvider IdentifiersIDDescriptionIssuerIDCC350XDescriptionOtherIssuerPTANCalifornia