Kellie Michelle Hickerson, RN BSN MSN PMHNP-BC - Medicare Clinical Nurse Specialist in Beaver Dam, KY

  1. Home
  2. Clinical Nurse Specialist
  3. KY
  4. Beaver Dam
Kellie Michelle Hickerson, RN BSN MSN PMHNP-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Beaver Dam, Kentucky. Her current practice location is 1621 N Main St, Beaver Dam, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 274-9222.

Kellie Michelle Hickerson is licensed to practice in Kentucky (license number 4007496) 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 1538841382.

Contact Information

Kellie Michelle Hickerson, RN BSN MSN PMHNP-BC
1621 N Main St,
Beaver Dam, KY 42320-8963
(270) 274-9222
Not Available

Map and Direction




Provider's Profile

Full NameKellie Michelle Hickerson
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health
Location1621 N Main St, Beaver Dam, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538841382
  • Provider Enumeration Date: 08/02/2023
  • Last Update Date: 08/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608239835
  • Enrollment ID: I20230905003844

Medical Identifiers

Medical identifiers for Kellie Michelle Hickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538841382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 4007496 (Kentucky)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. Kellie Michelle Hickerson allows following entities to bill medicare on her behalf.
Entity NameOhio County Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407049000
PECOS PAC ID: 3577477264
Enrollment ID: O20031117000774

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. Kellie Michelle Hickerson 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 AddressPractice Location Address
Kellie Michelle Hickerson, RN BSN MSN PMHNP-BC
126 Spinks Dr,
Hartford, KY 42347-9032

Ph: (270) 993-2767		Kellie Michelle Hickerson, RN BSN MSN PMHNP-BC
1621 N Main St,
Beaver Dam, KY 42320-8963

Ph: (270) 274-9222

Reviews and Comments


Clinical Nurse Specialist Nurses in Beaver Dam, KY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.