Jimmy Hicks, CRNA | |
110 Hardin Ln, Somerset, KY 42503-3818 | |
(606) 678-3288 | |
Not Available |
Full Name | Jimmy Hicks |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 110 Hardin Ln, Somerset, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871585430 | NPI | - | NPPES |
74007378 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3360A (Kentucky) | Primary |
Entity Name | Kentucky Anesthesia Group Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
Entity Name | Cumberland Anesthesia Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124134192 PECOS PAC ID: 8426957218 Enrollment ID: O20031231000063 |
Entity Name | Wayne County Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871548016 PECOS PAC ID: 7113814740 Enrollment ID: O20040301000047 |
Mailing Address | Practice Location Address |
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Jimmy Hicks, CRNA 425 Lewis Hargett Circle, Lexington, KY 40503-3590 Ph: (859) 268-1030 | Jimmy Hicks, CRNA 110 Hardin Ln, Somerset, KY 42503-3818 Ph: (606) 678-3288 |
Justin Timothy Pate, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-678-3288 | |
Benjamin Thomas Kabel, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-678-7441 | |
Daniel G. Patton, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 | |
Chelsey Herzig Donohue, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 108 Southridge Dr, Somerset, KY 42503 Phone: 218-349-7479 | |
Lucas Daniel Holcomb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 | |
Kimberly Brady Sexton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-678-3288 Fax: 606-679-3108 | |
Eric M Toohey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-679-7441 |