Mary Hicks, NP | |
1 Ford Pl, Detroit, MI 48202 | |
(800) 653-6568 | |
Not Available |
Full Name | Mary Hicks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 1 Ford Pl, Detroit, Michigan |
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 |
---|---|---|---|
1447241229 | NPI | - | NPPES |
1447241229 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704154971 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Henry Ford Macomb Hospital Corporation | 7911808381 | 285 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
Entity Name | Henry Ford Macomb Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651 |
Mailing Address | Practice Location Address |
---|---|
Mary Hicks, NP 28690 Old North River Rd, Harrison Twp, MI 48045-1619 Ph: (586) 801-8488 | Mary Hicks, NP 1 Ford Pl, Detroit, MI 48202 Ph: (800) 653-6568 |
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Mikayla Spica, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
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