Dr Brent Hicks, | |
501 W Kieffer Rd # 400n, Michigan City, IN 46360-9580 | |
(219) 879-2177 | |
Not Available |
Full Name | Dr Brent Hicks |
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Gender | Male |
Speciality | Chiropractor - Rehabilitation |
Location | 501 W Kieffer Rd # 400n, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073656534 | NPI | - | NPPES |
200431860A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | 08001324A (Indiana) | Primary |
Provider Name | Hicks Chiropractic Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588707053 PECOS PAC ID: 1052386646 Enrollment ID: O20040827000449 |
Mailing Address | Practice Location Address |
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Dr Brent Hicks, 501 W Kieffer Rd # 400n, Michigan City, IN 46360-9580 Ph: () - | Dr Brent Hicks, 501 W Kieffer Rd # 400n, Michigan City, IN 46360-9580 Ph: (219) 879-2177 |
Dr. Justo Santos Samalio Iii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 240 Commerce Sq, Michigan City, IN 46360 Phone: 210-872-2273 Fax: 219-872-5147 | |
Dr. Reilly D Enos, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8690 W Pahs Rd, Michigan City, IN 46360 Phone: 219-872-5151 | |
Blake Olson, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 W Kieffer Rd, Michigan City, IN 46360 Phone: 219-879-2177 | |
Scott Turner Glidden, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8690 W Pahs Rd, Michigan City, IN 46360 Phone: 219-872-5151 Fax: 219-872-0177 | |
Ryan Johnston, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 W Kieffer Rd, Michigan City, IN 46360 Phone: 219-879-2177 | |
Dr. Matthew Robert Eaton, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8690 W Pahs Rd, Michigan City, IN 46360 Phone: 219-872-5151 Fax: 219-872-0177 |