Jennifer Hicks, LCSW is a medicare enrolled "Social Worker" provider in Wagoner, Oklahoma. Her current practice location is
901 S. Harrill Ave, Wagoner, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 485-0242.
Jennifer Hicks is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669920054.
Healthcare Provider's Profile
Full Name | Jennifer Hicks |
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Gender | Female |
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Speciality | Social Worker |
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Location | 901 S. Harrill Ave, Wagoner, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669920054
- Provider Enumeration Date: 09/14/2016
- Last Update Date: 03/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123434073
- Enrollment ID: I20210301002750
Medical Identifiers
Medical identifiers for Jennifer Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669920054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 7277 (Oklahoma) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Hicks allows following entities to bill medicare on her behalf.
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Hicks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Hicks, LCSW 1203 Se 3rd St, Wagoner, OK 74467-5823 Ph: (918) 815-9863 | Jennifer Hicks, LCSW 901 S. Harrill Ave, Wagoner, OK 74467-5867 Ph: (918) 485-0242 |
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