Todd L Hicks, MD | |
580 Lincoln Park Blvd, Ste 300, Dayton, OH 45429-3474 | |
(937) 396-8001 | |
(937) 396-8003 |
Full Name | Todd L Hicks |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 23 Years |
Location | 580 Lincoln Park Blvd, Dayton, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326054073 | NPI | - | NPPES |
2665174 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35-08-5868 (Ohio) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 35.085868 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Miami Valley Hospital | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Health Specialists Inc | 5597708594 | 390 |
Entity Name | Premier Health Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
Mailing Address | Practice Location Address |
---|---|
Todd L Hicks, MD 2300 Miami Valley Dr, Ste 380, Centerville, OH 45459-1294 Ph: (937) 396-8001 | Todd L Hicks, MD 580 Lincoln Park Blvd, Ste 300, Dayton, OH 45429-3474 Ph: (937) 396-8001 |
Dr. Vijay Kiran Jayanti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St Ste Nw3300, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-641-2780 | |
Dr. Victor N Nanagas Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: One Childrens Plaza, Ste 2071, Dayton, OH 45404 Phone: 937-461-5020 Fax: 937-641-3107 | |
Randy J Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 East Apple Street, Suite 5253, Dayton, OH 45409 Phone: 937-208-2552 Fax: 937-208-6154 | |
Philip Copelain Williams Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: One Elizabeth Place, Suite 10a, Dayton, OH 45408 Phone: 937-228-4156 Fax: 937-228-0247 | |
Robert D Keighley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 829 Timberlake Ct, Dayton, OH 45429 Phone: 419-236-3315 | |
Akpofure P Ekeh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 East Apple Street, Suite 5253, Dayton, OH 45409 Phone: 937-208-2552 Fax: 937-208-6154 | |
Alice Wang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd Ste F, Dayton, OH 45459 Phone: 937-208-5300 Fax: 937-208-5650 |