Kaitlyn Paige Hickman, PA-C is a medicare enrolled "Physician Assistant" physician in San Antonio, Texas. Her current practice location is
448 Castroville Rd, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 434-1400.
Kaitlyn Paige Hickman is licensed to practice in Texas (license number PA17715) 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 1790541365.
Physician's Profile
Full Name | Kaitlyn Paige Hickman |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 448 Castroville Rd, San Antonio, Texas |
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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: 1790541365
- Provider Enumeration Date: 02/22/2024
- Last Update Date: 03/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244670990
- Enrollment ID: I20240429003409
Medical Identifiers
Medical identifiers for Kaitlyn Paige Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790541365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | PA17715 (Texas) | Secondary |
363A00000X | Physician Assistant | PA17715 (Texas) | 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. Kaitlyn Paige Hickman 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 |
Kaitlyn Paige Hickman, PA-C 448 Castroville Rd, San Antonio, TX 78207-5147 Ph: (210) 434-1400 | Kaitlyn Paige Hickman, PA-C 448 Castroville Rd, San Antonio, TX 78207-5147 Ph: (210) 434-1400 |
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