Ms Wanda Denise Hicks, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Satsuma, Alabama. Her current practice location is
601 Vallier Ct, Satsuma, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 408-7568.
Ms Wanda Denise Hicks is licensed to practice in Alabama (license number 1090842) 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 1033206545.
Provider's Profile
Full Name | Ms Wanda Denise Hicks |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 601 Vallier Ct, Satsuma, Alabama |
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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: 1033206545
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274633292
- Enrollment ID: I20070705000194
Medical Identifiers
Medical identifiers for Ms Wanda Denise Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033206545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1090842 (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. Ms Wanda Denise Hicks allows following entities to bill medicare on her behalf.
Entity Name | Eastern Hospital Medicine Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104859123 PECOS PAC ID: 8325044597 Enrollment ID: O20061011000241 |
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Entity Name | Inpatient Consultants Of Alabama, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235238916 PECOS PAC ID: 6709983422 Enrollment ID: O20110805000011 |
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Entity Name | Russellville Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
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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. Ms Wanda Denise 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 |
Ms Wanda Denise Hicks, CRNP 1111 E I65 Service Rd S Ste 106, Mobile, AL 36606-3101 Ph: (251) 408-7568 | Ms Wanda Denise Hicks, CRNP 601 Vallier Ct, Satsuma, AL 36572-2832 Ph: (251) 408-7568 |
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