Ms Christine Michelle Hicks, CRNP | |
3459 Old Halifax Rd Ste I, South Boston, VA 24592-4900 | |
(434) 549-0383 | |
(434) 549-0384 |
Full Name | Ms Christine Michelle Hicks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 3459 Old Halifax Rd Ste I, South Boston, Virginia |
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 |
---|---|---|---|
1912398884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 0024177743 (Virginia) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | R130205 (Maryland) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891169975 PECOS PAC ID: 3779471701 Enrollment ID: O20180508002045 |
Mailing Address | Practice Location Address |
---|---|
Ms Christine Michelle Hicks, CRNP 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Ms Christine Michelle Hicks, CRNP 3459 Old Halifax Rd Ste I, South Boston, VA 24592-4900 Ph: (434) 549-0383 |
Whitney Heather Rae Wilborn, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 Fax: 434-517-3989 | |
Amanda Igata, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 | |
Jon M Hughes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 | |
Mrs. Michelle Bender Gibson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2232 Wilborn Ave, Suite D, Hematology Oncology Practice Of Southside Va, Pc, South Boston, VA 24592 Phone: 434-575-1212 Fax: 434-575-1130 | |
Carrie Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-6565 | |
Jonette Talbott, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 | |
Brandi S Thompson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2232 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8977 |