Zipporiah T Hicks, APRN in Hartford, CT - Medicare Nurse Practitioner

Zipporiah T Hicks, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. Her current practice location is 500 Albany Ave, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 249-9625.

Zipporiah T Hicks is licensed to practice in Georgia (license number RN299615) 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 1134806326.

Contact Information

	Zipporiah T Hicks, APRN
	500 Albany Ave, Hartford, CT 06120-2508
	(860) 249-9625
	Not Available

Map and Direction

Provider's Profile

Full Name	Zipporiah T Hicks
Gender	Female
Speciality	Nurse Practitioner - Family
Location	500 Albany Ave, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134806326
Provider Enumeration Date: 06/29/2023
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3678924099
Enrollment ID: I20240110003481

Medical Identifiers

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

Identifier	Type	State	Issuer
1134806326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN299615 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN299615 (Georgia)	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. Zipporiah T Hicks allows following entities to bill medicare on her behalf.

Entity Name	Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730284605 PECOS PAC ID: 3870564172 Enrollment ID: O20040802000825

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. Zipporiah T 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
Zipporiah T Hicks, APRN 1 Park Rd Apt 424, West Hartford, CT 06119-1968 Ph: (678) 394-9408	Zipporiah T Hicks, APRN 500 Albany Ave, Hartford, CT 06120-2508 Ph: (860) 249-9625

Reviews and Comments

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Zipporiah T Hicks, APRN - Medicare Nurse Practitioner in Hartford, CT