Stuart Hickerson, is a medicare enrolled "Emergency Medicine" physician in Havana, Illinois. His current practice location is
12528 Sr 78, Havana, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 543-4253.
Stuart Hickerson is licensed to practice in Illinois (license number 036083126) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073629374.
Physician's Profile
Full Name | Stuart Hickerson |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 12528 Sr 78, Havana, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stuart Hickerson attended and graduated from in
NPI Data:
- NPI Number: 1073629374
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 12/13/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Stuart Hickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073629374 | NPI | - | NPPES |
036083126 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036083126 (Illinois) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 036083126 (Illinois) | Secondary |
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. Stuart 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 |
Stuart Hickerson, 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: () - | Stuart Hickerson, 12528 Sr 78, Havana, IL 62644-6866 Ph: (309) 543-4253 |
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