Jean Hickman, PT is a
Physical Therapist based in Rutland, Vermont. Jean Hickman is licensed to practice in Vermont (license number 040.0067009) and her current practice location is
9 Haywood Ave, Rutland, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 775-0007.
NPI number for Jean Hickman is 1386958502 and her current mailing address is 9 Haywood Ave, Rutland, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386958502.
Provider's Profile
| Full Name | Jean Hickman |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 9 Haywood Ave, Rutland, Vermont |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386958502
- Provider Enumeration Date: 07/29/2010
- Last Update Date: 07/29/2010
Medical Identifiers
Medical identifiers for Jean Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386958502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 197524 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | 040.0067009 (Vermont) | Primary |
| 225100000X | Physical Therapist | 6189 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | 7406 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | PT3672 (Maine) | 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. Jean Hickman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jean Hickman, PT
9 Haywood Ave,
Rutland, VT 05701-4832
Ph: (802) 775-0007 | Jean Hickman, PT
9 Haywood Ave,
Rutland, VT 05701-4832
Ph: (802) 775-0007 |
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