Mrs Penni Jo Hicks-blue, RD, LDN is a
Dietitian, Registered based in Sandwich, Illinois. Mrs Penni Jo Hicks-blue is licensed to practice in Illinois (license number ) and her current practice location is
11 E Pleasant Ave, Sandwich, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 786-3719.
NPI number for Mrs Penni Jo Hicks-blue is 1093908881 and her current mailing address is 11 E Pleasant Ave, Sandwich, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093908881.
Healthcare Provider's Profile
Full Name | Mrs Penni Jo Hicks-blue |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 11 E Pleasant Ave, Sandwich, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093908881
- Provider Enumeration Date: 08/24/2007
- Last Update Date: 08/24/2007
Medical Identifiers
Medical identifiers for Mrs Penni Jo Hicks-blue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093908881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (Illinois) | 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. Mrs Penni Jo Hicks-blue is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Penni Jo Hicks-blue, RD, LDN 11 E Pleasant Ave, Sandwich, IL 60548-1100 Ph: (815) 786-3719 | Mrs Penni Jo Hicks-blue, RD, LDN 11 E Pleasant Ave, Sandwich, IL 60548-1100 Ph: (815) 786-3719 |
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