Nicole Hickman, STUDENT is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Waverly, Iowa. Her current practice location is
312 9th St Sw, Waverly, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 352-4120.
Nicole Hickman is licensed to practice in Iowa (license number D174685) 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 1497333660.
Provider's Profile
| Full Name | Nicole Hickman |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 312 9th St Sw, Waverly, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497333660
- Provider Enumeration Date: 03/30/2021
- Last Update Date: 04/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830551258
- Enrollment ID: I20230817001288
Medical Identifiers
Medical identifiers for Nicole Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497333660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | D174685 (Iowa) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Nicole Hickman allows following entities to bill medicare on her behalf.
| Entity Name | Waverly Health Center |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1033125463
PECOS PAC ID: 8820996762
Enrollment ID: O20060925000486 |
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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. Nicole Hickman 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 |
|---|
Nicole Hickman, STUDENT
427 N Maple St,
Janesville, IA 50647-1021
Ph: () - | Nicole Hickman, STUDENT
312 9th St Sw,
Waverly, IA 50677-2999
Ph: (319) 352-4120 |
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