Quintara Hicks, PMHNP in Columbia, SC - Medicare Nurse Practitioner

Quintara Hicks, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Columbia, South Carolina. Her current practice location is 115 Atrium Way Bldg Ste 221, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 699-8887.

Quintara Hicks is licensed to practice in South Carolina (license number 26845) 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 1205572260.

Contact Information

	Quintara Hicks, PMHNP
	115 Atrium Way Bldg Ste 221, Columbia, SC 29223-6371
	(803) 699-8887
	Not Available

Map and Direction

Provider's Profile

Full Name	Quintara Hicks
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	115 Atrium Way Bldg Ste 221, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205572260
Provider Enumeration Date: 05/11/2022
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8123499191
Enrollment ID: I20230130002674

Medical Identifiers

Medical identifiers for Quintara Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205572260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0001278937 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26845 (South Carolina)	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. Quintara Hicks allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901

Entity Name	Charleston Counseling Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323

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. Quintara 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
Quintara Hicks, PMHNP 1133 Fox Trl, South Boston, VA 24592-6147 Ph: (804) 370-3783	Quintara Hicks, PMHNP 115 Atrium Way Bldg Ste 221, Columbia, SC 29223-6371 Ph: (803) 699-8887

Reviews and Comments

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Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909

Quintara Hicks, PMHNP - Medicare Nurse Practitioner in Columbia, SC