Mr Jason T Hicks, APRN, LCSW is a medicare enrolled "Nurse Practitioner - Family" provider in Monticello, Kentucky. His current practice location is
1 S Creek Dr Ste 102, Monticello, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 348-3365.
Mr Jason T Hicks is licensed to practice in Kentucky (license number 3008758) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245403161.
Healthcare Provider's Profile
| Full Name | Mr Jason T Hicks |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1 S Creek Dr Ste 102, Monticello, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1245403161
- Provider Enumeration Date: 04/11/2008
- Last Update Date: 01/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 5698994168
- Enrollment ID: I20140915002456
Medical Identifiers
Medical identifiers for Mr Jason T Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245403161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 2011 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3008758 (Kentucky) | 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. Mr Jason T Hicks allows following entities to bill medicare on his behalf.
| Entity Name | Monticello Medical Associates, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063007672
PECOS PAC ID: 2062409154
Enrollment ID: O20040429000965 |
|---|
| Entity Name | Faith Healthcare Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053964965
PECOS PAC ID: 0840529335
Enrollment ID: O20190909002402 |
|---|
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. Mr Jason T 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 |
|---|
Mr Jason T Hicks, APRN, LCSW
1 S Creek Dr Ste 102,
Monticello, KY 42633-9472
Ph: (606) 348-3365 | Mr Jason T Hicks, APRN, LCSW
1 S Creek Dr Ste 102,
Monticello, KY 42633-9472
Ph: (606) 348-3365 |
Reviews and Comments