Chandler Hicks, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Cleveland, Ohio. His current practice location is
11100 Euclid Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(918) 237-8484.
Chandler Hicks is licensed to practice in * (Not Available) (license number ) 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 1265991327.
Physician's Profile
| Full Name | Chandler Hicks |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11100 Euclid Ave, Cleveland, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265991327
- Provider Enumeration Date: 03/18/2019
- Last Update Date: 01/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749518462
- Enrollment ID: I20190820000538
Medical Identifiers
Medical identifiers for Chandler Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265991327 | NPI | - | NPPES |
| 1265991327 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 58.030898 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Chandler 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 |
|---|
Chandler Hicks,
11100 Euclid Ave,
Cleveland, OH 44106-1716
Ph: () - | Chandler Hicks,
11100 Euclid Ave,
Cleveland, OH 44106-1716
Ph: (918) 237-8484 |
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