Keshawn Hicks, RN is a
In Home Supportive Care based in Dacula, Georgia. Keshawn Hicks is licensed to practice in Georgia (license number RN197191) and her current practice location is
1124 Red Wolf Ln, Dacula, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 517-3521.
NPI number for Keshawn Hicks is 1184455420 and her current mailing address is 1124 Red Wolf Ln, Dacula, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184455420.
Provider's Profile
Full Name | Keshawn Hicks |
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Gender | Female |
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Speciality | In Home Supportive Care |
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Location | 1124 Red Wolf Ln, Dacula, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184455420
- Provider Enumeration Date: 08/09/2024
- Last Update Date: 08/09/2024
Medical Identifiers
Medical identifiers for Keshawn Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184455420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0000X | Registered Nurse - Pain Management | RN197191 (Georgia) | Secondary |
163WW0000X | Registered Nurse - Wound Care | RN197191 (Georgia) | Secondary |
251J00000X | Nursing Care | RN197191 (Georgia) | Secondary |
253Z00000X | In Home Supportive Care | RN197191 (Georgia) | Primary |
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. Keshawn Hicks 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 |
Keshawn Hicks, RN 1124 Red Wolf Ln, Dacula, GA 30019-7448 Ph: (678) 517-3521 | Keshawn Hicks, RN 1124 Red Wolf Ln, Dacula, GA 30019-7448 Ph: (678) 517-3521 |
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