Phillip Hicks, MD | |
1015 Medical Center Pkwy, Selma, AL 36701-6748 | |
(800) 893-9698 | |
Not Available |
Full Name | Phillip Hicks |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1015 Medical Center Pkwy, Selma, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366465643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 00016427 (Alabama) | Primary |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Mailing Address | Practice Location Address |
---|---|
Phillip Hicks, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Phillip Hicks, MD 1015 Medical Center Pkwy, Selma, AL 36701-6748 Ph: (800) 893-9698 |
Tessa Fain, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 334-418-4100 | |
Dr. Cesar Arthro Ravelo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 334-270-9793 | |
Dr. Jose Antonio Lopez-lago, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 706-582-2393 | |
Dr. Sean Brian Bohannon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Vaughan Memorial Dr, Selma, AL 36701 Phone: 334-375-8007 Fax: 334-526-1849 |