Kelli R Hickle, MD in South Portland, ME - Medicare Plastic And Reconstructive Surgery

Kelli R Hickle, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in South Portland, Maine. She went to University Of Arizona College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice Plastic And Hand Surgical Associates and her current practice location is 244 Western Ave # 100, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 775-3446.

Kelli R Hickle is licensed to practice in Maine (license number MD25330) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013303544.

Contact Information

	Kelli R Hickle, MD
	244 Western Ave # 100, South Portland, ME 04106-2496
	(207) 775-3446
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelli R Hickle
Gender	Female
Speciality	Plastic And Reconstructive Surgery
Experience	9 Years
Location	244 Western Ave # 100, South Portland, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelli R Hickle attended and graduated from University Of Arizona College Of Medicine in 2015

NPI Data:

NPI Number: 1013303544
Provider Enumeration Date: 04/10/2015
Last Update Date: 04/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4486961430
Enrollment ID: I20220720000982

Medical Identifiers

Medical identifiers for Kelli R Hickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013303544	NPI	-	NPPES
MD25330	Other	ME	MAINE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	273850 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	MD25330 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Maine Medical Center	Portland, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Plastic And Hand Surgical Associates	3476543208	15

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. Kelli R Hickle allows following entities to bill medicare on her behalf.

Entity Name	Plastic & Hand Surgical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679687594 PECOS PAC ID: 3476543208 Enrollment ID: O20040514000129

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. Kelli R Hickle 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
Kelli R Hickle, MD 244 Western Ave # 100, South Portland, ME 04106-2430 Ph: (207) 775-3446	Kelli R Hickle, MD 244 Western Ave # 100, South Portland, ME 04106-2496 Ph: (207) 775-3446

Reviews and Comments

Surgery Doctors in South Portland, ME

Arthur Turko, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 244 Western Ave, South Portland, ME 04106 Phone: 207-775-3446
Dr. John C. Kirkham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 244 Western Ave, South Portland, ME 04106 Phone: 207-775-3446
Dr. Salah Al-hashimi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Western Ave, South Portland, ME 04106 Phone: 207-772-4203 Fax: 207-772-5159
Sarah P Greven-chaousis, PA Surgery Medicare: Medicare Enrolled Practice Location: 244 Western Ave, South Portland, ME 04106 Phone: 207-775-3446
Winthrop Sylvester Maclaughlin Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 210 Western Ave, South Portland, ME 04106 Phone: 207-772-0095 Fax: 207-772-3222
Dr. Justin T Zelones, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 244 Western Ave, South Portland, ME 04106 Phone: 207-775-3446

Kelli R Hickle, MD - Medicare Plastic And Reconstructive Surgery in South Portland, ME