Lauryn Hicks, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Moselle, Mississippi. Her current practice location is
3 John Everett Rd, Moselle, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 620-9991.
Lauryn Hicks is licensed to practice in Mississippi (license number 906300) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194598763.
Provider's Profile
Full Name | Lauryn Hicks |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3 John Everett Rd, Moselle, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194598763
- Provider Enumeration Date: 11/06/2023
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264881499
- Enrollment ID: I20231212004231
Medical Identifiers
Medical identifiers for Lauryn Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194598763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 906300 (Mississippi) | Primary |
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. Lauryn Hicks allows following entities to bill medicare on her behalf.
Entity Name | Grayson Creek Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184166035 PECOS PAC ID: 1153605233 Enrollment ID: O20170309001847 |
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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. Lauryn 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 |
Lauryn Hicks, FNP-C 1946 Gladiolus Dr, Laurel, MS 39440-4818 Ph: (601) 335-2269 | Lauryn Hicks, FNP-C 3 John Everett Rd, Moselle, MS 39459-9771 Ph: (601) 620-9991 |
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