Kathleen M Heckel Hicks, FNP-C | |
474 N Hwy 89, Chino Valley, AZ 86323-5993 | |
(928) 636-5680 | |
(928) 636-5653 |
Full Name | Kathleen M Heckel Hicks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 474 N Hwy 89, Chino Valley, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780918037 | NPI | - | NPPES |
983442 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP3460 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Yavapai Regional Medical Center | Prescott, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yavapai Regional Medical Center Physician Care, Llc | 5294898987 | 119 |
Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
Mailing Address | Practice Location Address |
---|---|
Kathleen M Heckel Hicks, FNP-C Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 636-5680 | Kathleen M Heckel Hicks, FNP-C 474 N Hwy 89, Chino Valley, AZ 86323-5993 Ph: (928) 636-5680 |
Dianne A Tobin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-4355 | |
Shannon Kay Jaramillo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1934 N State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 | |
Tina Renee Mickle, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1934 N Hwy 89, Chino Valley, AZ 86323 Phone: 928-404-1488 Fax: 928-636-3099 | |
Shelly Lynn Crossman, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 448 N State Route 89 Ste H, Chino Valley, AZ 86323 Phone: 928-499-2915 Fax: 877-406-3180 | |
Ms. Jessica Renee Holman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 Roadrunner Ln, Chino Valley, AZ 86323 Phone: 928-848-7553 | |
Kimberly Faun Bailey, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 448 N Hwy 89 Ste H, Chino Valley, AZ 86323 Phone: 928-636-3269 | |
Belinda T Drake, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 |