Shirley L Bayham-hicks, FNP in Douglas, AZ - Medicare Nurse Practitioner

Shirley L Bayham-hicks, FNP is a medicare enrolled "Nurse Practitioner - Family" in Douglas, Arizona. Her current practice location is 1100 F Ave, Douglas, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 364-3285.

Shirley L Bayham-hicks is licensed to practice in Arizona (license number AP1256) 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 1144216920.

Contact Information

	Shirley L Bayham-hicks, FNP
	1100 F Ave, Douglas, AZ 85607-1919
	(520) 364-3285
	(520) 364-4261

Map and Direction

Provider's Profile

Full Name	Shirley L Bayham-hicks
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 F Ave, Douglas, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144216920
Provider Enumeration Date: 09/27/2005
Last Update Date: 03/19/2015

Medicare PECOS Information:

PECOS PAC ID: 8224102173
Enrollment ID: I20080811000539

Medical Identifiers

Medical identifiers for Shirley L Bayham-hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144216920	NPI	-	NPPES
589400	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP1256 (Arizona)	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. Shirley L Bayham-hicks allows following entities to bill medicare on her behalf.

Entity Name	Chiricahua Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860

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. Shirley L Bayham-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
Shirley L Bayham-hicks, FNP 1205 F Ave, Douglas, AZ 85607-1920 Ph: (520) 364-1429	Shirley L Bayham-hicks, FNP 1100 F Ave, Douglas, AZ 85607-1919 Ph: (520) 364-3285

Reviews and Comments

Nurse Practitioner Nurses in Douglas, AZ

Lilia Lara, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N F Ave, Douglas, AZ 85607 Phone: 520-364-3285
Oyeronke O Ajiboye-lala, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-366-3133
Ricardo Duarte, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 N Bdi Blvd, Douglas, AZ 85607 Phone: 520-364-7521
Kayla Rose Percy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 N F Ave, Douglas, AZ 85607 Phone: 520-364-1429
Ms. Gabrielle Alexandra Lugo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2986
Deborah Judith Kinder, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 N Bdi Blvd, Douglas, AZ 85607 Phone: 520-364-7521 Fax: 520-805-5969

Shirley L Bayham-hicks, FNP - Medicare Nurse Practitioner in Douglas, AZ