Carolyn Dianne Hicks, NURSE PRACTITIONER - Medicare Nurse Practitioner in Charlotte, NC

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Carolyn Dianne Hicks, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. Her current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-6478.

Carolyn Dianne Hicks is licensed to practice in North Carolina (license number 5015297) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669045936.

Contact Information

Carolyn Dianne Hicks, NURSE PRACTITIONER
200 Hawthorne Ln,
Charlotte, NC 28204-2515
(704) 384-6478
(704) 384-8220

Map and Direction




Provider's Profile

Full NameCarolyn Dianne Hicks
GenderFemale
SpecialityNurse Practitioner
Location200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669045936
  • Provider Enumeration Date: 07/23/2021
  • Last Update Date: 07/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042605420
  • Enrollment ID: I20220322001240

Medical Identifiers

Medical identifiers for Carolyn Dianne Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669045936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2021016239 (North Carolina)Secondary
363L00000XNurse Practitioner 5015297 (North Carolina)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. Carolyn Dianne Hicks allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameThe Presbyterian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053365817
PECOS PAC ID: 1153231907
Enrollment ID: O20040223001121
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503

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. Carolyn Dianne 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 AddressPractice Location Address
Carolyn Dianne Hicks, NURSE PRACTITIONER
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-6478		Carolyn Dianne Hicks, NURSE PRACTITIONER
200 Hawthorne Ln,
Charlotte, NC 28204-2515

Ph: (704) 384-6478

Reviews and Comments


Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.