| James Hickman, AUD | |
|
60 Mdg/sgpq, 101 Bodin Circle, Travis Afb, CA 94535-1809 | |
| (707) 423-7163 | |
| Not Available |
| Full Name | James Hickman |
|---|---|
| Gender | Male |
| Speciality | Qualified Audiologist |
| Experience | 4 Years |
| Location | 60 Mdg/sgpq, Travis Afb, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811569346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | A-0392 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Provider Name | West Virginia University Medical Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Mailing Address | Practice Location Address |
|---|---|
| James Hickman, AUD 60 Mdg/sgpq, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: () - | James Hickman, AUD 60 Mdg/sgpq, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: (707) 423-7163 |
Mrs. Ada L Haber-perez, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7149 Fax: 707-423-3628 | |
Dr. Julie Schanzenbach, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7163 | |
Cynthia Sabin Eades, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, 60 Mdg/sgpq, Travis Afb, CA 94535 Phone: 707-423-7163 |