Dr Stacie Hicks, DO is a medicare enrolled "Family Medicine" physician in Continental, Ohio. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. Her current practice location is
102 W Ash St, Continental, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 596-3521.
Dr Stacie Hicks is licensed to practice in Ohio (license number 34015494) 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 1649206889.
Physician's Profile
Full Name | Dr Stacie Hicks |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 29 Years |
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Location | 102 W Ash St, Continental, Ohio |
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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. |
Medical Education and Training:
- Dr Stacie Hicks graduated from medical school in 1995
NPI Data:
- NPI Number: 1649206889
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 12/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315932969
- Enrollment ID: I20211217002137
Medical Identifiers
Medical identifiers for Dr Stacie Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649206889 | NPI | - | NPPES |
296620 | Other | FL | AVMED |
7200001 | Other | FL | AETNA |
35573 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1588 (Alabama) | Secondary |
207Q00000X | Family Medicine | 34015494 (Ohio) | 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. Dr Stacie Hicks allows following entities to bill medicare on her behalf.
Entity Name | Mercy Medical Partners Northern Region Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
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Entity Name | Hicksfamilymedicineohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619685500 PECOS PAC ID: 6103290127 Enrollment ID: O20230314002618 |
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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. Dr Stacie Hicks 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 |
Dr Stacie Hicks, DO 102 W Ash St, Continental, OH 45831-9162 Ph: (561) 305-9856 | Dr Stacie Hicks, DO 102 W Ash St, Continental, OH 45831-9162 Ph: (419) 596-3521 |
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