Dr Donald E Hicks, MD | |
120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | |
(417) 533-6710 | |
(417) 533-6719 |
Full Name | Dr Donald E Hicks |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 120 Hospital Dr, Lebanon, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629149190 | NPI | - | NPPES |
209680107 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 114220 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Mailing Address | Practice Location Address |
---|---|
Dr Donald E Hicks, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Donald E Hicks, MD 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 Ph: (417) 533-6710 |
Dr. Debra Ann Carson, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 225, Lebanon, MO 65536 Phone: 417-533-6710 | |
Denis E Percell, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 120 Hospital Dr, Suite 225, Lebanon, MO 65536 Phone: 417-533-6710 Fax: 417-533-6719 | |
Dr. William Frank Williams, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 120 Hospital Dr, Suite 225, Lebanon, MO 65536 Phone: 417-533-6710 Fax: 417-533-6719 |