Dr Cicely Monique Pickett, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Halethorpe, Maryland. Her current practice location is
1701 Twin Springs Rd, Halethorpe, Maryland. You can reach out to her office (for appointments etc.) via phone at
(800) 777-7904.
Dr Cicely Monique Pickett is licensed to practice in Maryland (license number D61821) 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 1932105145.
Physician's Profile
Full Name | Dr Cicely Monique Pickett |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 1701 Twin Springs Rd, Halethorpe, Maryland |
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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: 1932105145
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 06/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204805021
- Enrollment ID: I20040929000134
Medical Identifiers
Medical identifiers for Dr Cicely Monique Pickett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932105145 | NPI | - | NPPES |
376751500 | Medicaid | MD | |
0038 | Other | MD | CAREFIRST-DC |
642258-02 | Other | MD | CAREFIRST-MD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | D61821 (Maryland) | 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 Cicely Monique Pickett allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
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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 Cicely Monique Pickett 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 Cicely Monique Pickett, MD 701 Pumphrey Farm Dr, Millersville, MD 21108-1485 Ph: (410) 299-5101 | Dr Cicely Monique Pickett, MD 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 Ph: (800) 777-7904 |
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