Tammy Jean Hickman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Winona, Missouri. Her current practice location is
7807 Cr 564, Winona, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 604-0613.
Tammy Jean Hickman is licensed to practice in Missouri (license number 2016033196) 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 1861820375.
Healthcare Provider's Profile
Full Name | Tammy Jean Hickman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7807 Cr 564, Winona, Missouri |
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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: 1861820375
- Provider Enumeration Date: 10/18/2013
- Last Update Date: 01/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648567032
- Enrollment ID: I20170113001161
Medical Identifiers
Medical identifiers for Tammy Jean Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861820375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2016033196 (Missouri) | Primary |
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. Tammy Jean Hickman 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 |
Tammy Jean Hickman, LCSW 7807 Cr 564, Winona, MO 65588-8407 Ph: (573) 604-0613 | Tammy Jean Hickman, LCSW 7807 Cr 564, Winona, MO 65588-8407 Ph: (573) 604-0613 |
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