Charlene Hicks, NP in New Augusta, MS - Medicare Nurse Practitioner

Charlene Hicks, NP is a medicare enrolled "Nurse Practitioner - Family" in New Augusta, Mississippi. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Mississippi Rural Health Initiative, Inc and her current practice location is 404 Main Street, New Augusta, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 964-8391.

Charlene Hicks is licensed to practice in Mississippi (license number 901452) 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 1235599515.

Contact Information

	Charlene Hicks, NP
	404 Main Street, New Augusta, MS 39462
	(601) 964-8391
	(601) 964-8393

Map and Direction

Provider's Profile

Full Name	Charlene Hicks
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	404 Main Street, New Augusta, Mississippi
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:

Charlene Hicks graduated from nursing school in 2015

NPI Data:

NPI Number: 1235599515
Provider Enumeration Date: 03/01/2016
Last Update Date: 04/04/2019

Medicare PECOS Information:

PECOS PAC ID: 3274828330
Enrollment ID: I20180829000792

Medical Identifiers

Medical identifiers for Charlene Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235599515	NPI	-	NPPES
697484	Other	MS	MEDICARE PIN
03437726	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	901452 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Home Care	Hattiesburg, MS	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Mississippi Rural Health Initiative, Inc	2466342605	29

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. Charlene Hicks allows following entities to bill medicare on her behalf.

Entity Name	Southeast Mississippi Rural Health Initiative, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300

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. Charlene 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
Charlene Hicks, NP Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700	Charlene Hicks, NP 404 Main Street, New Augusta, MS 39462 Ph: (601) 964-8391

Reviews and Comments

Nurse Practitioner Nurses in New Augusta, MS

Leann Nicole Evans, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Main St, New Augusta, MS 39462 Phone: 601-964-8391 Fax: 601-964-8393
Latesha Rochelle Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Mcswain Rd, New Augusta, MS 39462 Phone: 601-402-0859
Kimberly Lashaun Coke, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Thomas Lane, New Augusta, MS 39462 Phone: 601-606-0956
Tracy Hennessey, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 Main St, New Augusta, MS 39462 Phone: 601-964-8391 Fax: 601-964-8393

Charlene Hicks, NP - Medicare Nurse Practitioner in New Augusta, MS