Dr Paul T Hickerson, PHD, LPC in Russellville, AR

Dr Paul T Hickerson, PHD, LPC is a medicare enrolled "Counselor - Mental Health" provider in Russellville, Arkansas. His current practice location is 106 E Main, Russellville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 692-1208.

Dr Paul T Hickerson is licensed to practice in Arkansas (license number P1408057) 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 1134411036.

Contact Information

	Dr Paul T Hickerson, PHD, LPC
	106 E Main, Russellville, AR 72801-5128
	(479) 692-1208
	(866) 538-2772

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Paul T Hickerson
Gender	Male
Speciality	Counselor - Mental Health
Location	106 E Main, Russellville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134411036
Provider Enumeration Date: 05/10/2011
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 5294186326
Enrollment ID: I20240112001670

Medical Identifiers

Medical identifiers for Dr Paul T Hickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134411036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	P1408057 (Arkansas)	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. Dr Paul T Hickerson allows following entities to bill medicare on his behalf.

Entity Name	Western Arkansas Counseling & Guidance Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595

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. Dr Paul T Hickerson 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
Dr Paul T Hickerson, PHD, LPC Po Box 1251, Farmington, AR 72730-9998 Ph: (479) 692-1208	Dr Paul T Hickerson, PHD, LPC 106 E Main, Russellville, AR 72801-5128 Ph: (479) 692-1208

Reviews and Comments

Counselor in Russellville, AR

Megan Roshawn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364
Raven Cruz-humberto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 E Parkway Dr, Russellville, AR 72801 Phone: 866-921-0149 Fax: 479-777-4400
Phillip M Higdon, MS LADAC CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053
Mary Conner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Lake Front Dr, Russellville, AR 72802 Phone: 479-567-4744
Mrs. Marilyn Jean Mckown, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 W Main St Ste 100, Russellville, AR 72801 Phone: 479-964-2011
Matthew Waymack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 S Arkansas Ave, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140
Theodore Gongola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 W Main St, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140

Dr Paul T Hickerson, PHD, LPC - Medicare Counselor in Russellville, AR