Miss Roselyn Marie Hicks, MD | |
104 East Northwood Street, Greensboro, NC 27401 | |
(336) 373-0936 | |
(336) 373-9844 |
Full Name | Miss Roselyn Marie Hicks |
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Gender | Female |
Speciality | Allergy & Immunology |
Location | 104 East Northwood Street, Greensboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376501957 | NPI | - | NPPES |
0200074 | Other | UNITED HEALTHCARE | |
132M1 | Other | NC | BCBS |
89132M1 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 200200915 (North Carolina) | Primary |
208000000X | Pediatrics | 200200915 (North Carolina) | Secondary |
Entity Name | Morehouse Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
Mailing Address | Practice Location Address |
---|---|
Miss Roselyn Marie Hicks, MD 100 Westwood Ave, High Point, NC 27262-4320 Ph: (336) 883-1393 | Miss Roselyn Marie Hicks, MD 104 East Northwood Street, Greensboro, NC 27401 Ph: (336) 373-0936 |
Yoon M Kim, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 104 E Northwood St, Greensboro, NC 27401 Phone: 336-373-0936 | |
Dr. Eugene Shaner Lebauer, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3201 Brassfield Rd, Suite 400, Greensboro, NC 27410 Phone: 336-282-2300 Fax: 336-282-0034 | |
Dr. Ranjan Sharma, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3201 Brassfield Rd, Suite 400, Greensboro, NC 27410 Phone: 336-282-2300 Fax: 336-282-0034 | |
Priya Pradipkumar Patel, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 104 E Northwood St, Greensboro, NC 27401 Phone: 336-373-0936 | |
Dr. Meg Anne Whelan, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3201 Brassfield Rd, Suite 400, Greensboro, NC 27410 Phone: 336-282-2300 Fax: 336-282-0034 |