Matthew David Hicks, CRNA | |
1200 W Walnut St, Rogers, AR 72756-3546 | |
(479) 636-0200 | |
(479) 936-2912 |
Full Name | Matthew David Hicks |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1200 W Walnut St, Rogers, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316907959 | NPI | - | NPPES |
919212001 | Medicaid | MO | |
150123701 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CO1400 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthomed Staffing Llc | 9638429178 | 252 |
Entity Name | Taylor Surgery Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740738897 PECOS PAC ID: 2163601675 Enrollment ID: O20110128000551 |
Entity Name | Fayetteville Arkansas Hospital Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902267875 PECOS PAC ID: 1052619814 Enrollment ID: O20160601000627 |
Entity Name | Fayetteville Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831798586 PECOS PAC ID: 2769892157 Enrollment ID: O20201116000024 |
Entity Name | Orthomed Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20211230001313 |
Mailing Address | Practice Location Address |
---|---|
Matthew David Hicks, CRNA Po Box 507, Lowell, AR 72745-0507 Ph: (816) 461-8288 | Matthew David Hicks, CRNA 1200 W Walnut St, Rogers, AR 72756-3546 Ph: (479) 636-0200 |
Steven Derek Ceola, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979 | |
Matthew W Shelby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979 | |
Chad Silvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 Fax: 479-338-3056 | |
Sean P Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912 | |
Ms. Allison Elizabeth Lee Mckay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979 | |
Monte Clayton Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979 |