Mr Timothy Michael Hicks, PCC in Ashtabula, OH

Mr Timothy Michael Hicks, PCC is a medicare enrolled "Counselor - Professional" provider in Ashtabula, Ohio. His current practice location is 2801 C Ct, Ashtabula, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 998-4210.

Mr Timothy Michael Hicks is licensed to practice in Ohio (license number E.0008268) 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 1831280619.

Contact Information

	Mr Timothy Michael Hicks, PCC
	2801 C Ct, Ashtabula, OH 44004-4577
	(440) 998-4210
	(440) 998-6775

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Timothy Michael Hicks
Gender	Male
Speciality	Counselor - Professional
Location	2801 C Ct, Ashtabula, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831280619
Provider Enumeration Date: 09/27/2006
Last Update Date: 03/13/2015

Medicare PECOS Information:

PECOS PAC ID: 4486007911
Enrollment ID: I20240131002209

Medical Identifiers

Medical identifiers for Mr Timothy Michael Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831280619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.0008268 (Ohio)	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 Timothy Michael Hicks allows following entities to bill medicare on his behalf.

Entity Name	Community Counseling Center Of Ashtabula County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720029622 PECOS PAC ID: 7113830118 Enrollment ID: O20031106000414

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 Timothy Michael 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 Timothy Michael Hicks, PCC 2801 C Ct, Ashtabula, OH 44004-4577 Ph: (440) 998-4210	Mr Timothy Michael Hicks, PCC 2801 C Ct, Ashtabula, OH 44004-4577 Ph: (440) 998-4210

Reviews and Comments

Counselor in Ashtabula, OH

Karen Fronczak, Counselor Medicare: Medicare Enrolled Practice Location: 2801 C Ct, Ashtabula, OH 44004 Phone: 440-998-4210 Fax: 440-998-2247
Jason Robert Carmody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 S Ridge Rd E, Ashtabula, OH 44004 Phone: 513-834-7063
Haylee Mcmahon, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W 44th St, Ashtabula, OH 44004 Phone: 440-650-5030
Christopher Cope, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3418 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030
Carlen Pittman, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3418 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030
Adrianna Volpi, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3225 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030
Amanda Kathleen Brace, LPCC-S, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2334 Lake Ave, Ashtabula, OH 44004 Phone: 440-361-0127

Mr Timothy Michael Hicks, PCC - Medicare Counselor in Ashtabula, OH