Mrs Lisa M Hicks, CPNP in Dothan, AL - Medicare Nurse Practitioner

Mrs Lisa M Hicks, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Dothan, Alabama. Her current practice location is 126 Clinic Dr, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 793-1881.

Mrs Lisa M Hicks is licensed to practice in Alabama (license number 1-109237) 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 1497021414.

Contact Information

	Mrs Lisa M Hicks, CPNP
	126 Clinic Dr, Dothan, AL 36303-1980
	(334) 793-1881
	(334) 340-5918

Map and Direction

Provider's Profile

Full Name	Mrs Lisa M Hicks
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	126 Clinic Dr, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497021414
Provider Enumeration Date: 03/23/2012
Last Update Date: 07/06/2017

Medicare PECOS Information:

PECOS PAC ID: 7517231715
Enrollment ID: I20170927002098

Medical Identifiers

Medical identifiers for Mrs Lisa M Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497021414	NPI	-	NPPES
196555	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	1-109237 (Alabama)	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. Mrs Lisa M Hicks allows following entities to bill medicare on her behalf.

Entity Name	Dothan Pediatric Clinic, P. A.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376508788 PECOS PAC ID: 0749245330 Enrollment ID: O20041123000377

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. Mrs Lisa M 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
Mrs Lisa M Hicks, CPNP 126 Clinic Dr, Dothan, AL 36303-1980 Ph: (334) 793-1881	Mrs Lisa M Hicks, CPNP 126 Clinic Dr, Dothan, AL 36303-1980 Ph: (334) 793-1881

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Mrs Lisa M Hicks, CPNP - Medicare Nurse Practitioner in Dothan, AL