Ilze Hicks, MD | |
Po Box 1268, New Smyrna Beach, FL 32170-1268 | |
(386) 259-8803 | |
(386) 213-9981 |
Full Name | Ilze Hicks |
---|---|
Gender | Female |
Speciality | General Practice |
Location | Po Box 1268, New Smyrna Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619337532 | NPI | - | NPPES |
112624200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | ME124762 (Florida) | Secondary |
208D00000X | General Practice | ME124762 (Florida) | Primary |
Entity Name | Rmed Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508815358 PECOS PAC ID: 6608768411 Enrollment ID: O20040326000760 |
Entity Name | Jacksonville Hospitalists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871535492 PECOS PAC ID: 3274591631 Enrollment ID: O20041231000013 |
Entity Name | Aaron J West Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568687069 PECOS PAC ID: 1153361340 Enrollment ID: O20050506000409 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
Entity Name | Iah Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750787982 PECOS PAC ID: 6507182409 Enrollment ID: O20150312001580 |
Entity Name | Whatever It Takes Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477232171 PECOS PAC ID: 9739535741 Enrollment ID: O20231027000917 |
Mailing Address | Practice Location Address |
---|---|
Ilze Hicks, MD Po Box 1268, New Smyrna Beach, FL 32170-1268 Ph: (386) 259-8803 | Ilze Hicks, MD Po Box 1268, New Smyrna Beach, FL 32170-1268 Ph: (386) 259-8803 |
James R Meredith, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 502 Palmetto St, New Smyrna Beach, FL 32168 Phone: 869-571-8543 Fax: 386-878-4967 | |
Gary E Morales Geraldino, M. D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2700 N Peninsula Ave Apt 516, New Smyrna Beach, FL 32169 Phone: 787-543-6292 | |
Dr. Lidya Margarita Lataban-lopez, MD General Practice Medicare: Medicare Enrolled Practice Location: 1914 State Road 44 Ste B, New Smyrna Beach, FL 32168 Phone: 386-200-4259 | |
James Westley Tanner, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1722 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-428-3241 Fax: 386-427-8440 |