Latia Michelle Hickerson, WHNP is a medicare enrolled "Nurse Practitioner" physician in Houston, Texas. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
17000 El Camino Real, Ste 209, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 930-6345.
Latia Michelle Hickerson is licensed to practice in Texas (license number AP122845) 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 1811238652.
Physician's Profile
| Full Name | Latia Michelle Hickerson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 17000 El Camino Real, Houston, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Latia Michelle Hickerson graduated from medical school in 2012
NPI Data:
- NPI Number: 1811238652
- Provider Enumeration Date: 03/04/2013
- Last Update Date: 05/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 8325288285
- Enrollment ID: I20130717000643
Medical Identifiers
Medical identifiers for Latia Michelle Hickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811238652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 794027 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 794027 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP122845 (Texas) | 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. Latia Michelle Hickerson allows following entities to bill medicare on her behalf.
| Entity Name | Baylor College Of Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053352914
PECOS PAC ID: 8224941265
Enrollment ID: O20031106000562 |
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| Entity Name | Texas Childrens Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861675506
PECOS PAC ID: 4385722081
Enrollment ID: O20080422000209 |
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| Entity Name | Agrarian Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174035778
PECOS PAC ID: 3678828761
Enrollment ID: O20180613001519 |
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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. Latia Michelle Hickerson 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 |
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Latia Michelle Hickerson, WHNP
17000 El Camino Real, Ste 209,
Houston, TX 77058-2633
Ph: (832) 930-6345 | Latia Michelle Hickerson, WHNP
17000 El Camino Real, Ste 209,
Houston, TX 77058-2633
Ph: (832) 930-6345 |
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