Dr Mitchell Wayne Hicks, PHD, ABPP is a medicare enrolled "Psychologist - Clinical" provider in Arlington Heights, Illinois. He graduated from healthcare school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Crosswinds Center For Personal And Professional Development, Pllc and his current practice location is
3411 N Kennicott Ave Ste C, Arlington Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 849-8275.
Dr Mitchell Wayne Hicks is licensed to practice in Illinois (license number 071-006835) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093790776.
Healthcare Provider's Profile
| Full Name | Dr Mitchell Wayne Hicks |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 21 Years |
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| Location | 3411 N Kennicott Ave Ste C, Arlington Heights, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mitchell Wayne Hicks graduated from medical school in 2003
NPI Data:
- NPI Number: 1093790776
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 03/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 5991896540
- Enrollment ID: I20100215000511
Medical Identifiers
Medical identifiers for Dr Mitchell Wayne Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093790776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 180-005185 (Illinois) | Secondary |
| 103T00000X | Psychologist | 071-006835 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071-006835 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Crosswinds Center For Personal And Professional Development, Pllc | 2365790516 | 3 |
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. Dr Mitchell Wayne Hicks allows following entities to bill medicare on his behalf.
| Entity Name | Crosswinds Center For Personal And Professional Development, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811412166
PECOS PAC ID: 2365790516
Enrollment ID: O20180803000343 |
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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. Dr Mitchell Wayne 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 |
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Dr Mitchell Wayne Hicks, PHD, ABPP
3411 N Kennicott Ave Ste C,
Arlington Heights, IL 60004-7813
Ph: (630) 849-8275 | Dr Mitchell Wayne Hicks, PHD, ABPP
3411 N Kennicott Ave Ste C,
Arlington Heights, IL 60004-7813
Ph: (630) 849-8275 |
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