Jeff Hickman Llc is a
Clinic/center - Primary Care based in Walters, Oklahoma. Jeff Hickman Llc is licensed to practice in Oklahoma (license number 1298) and their current practice location is
202 W Missouri St, Walters, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(580) 875-2800.
NPI number for Jeff Hickman Llc is 1588898753 and their current mailing address is 13811 Sw Baseline Rd, Faxon, Oklahoma. Jeff Hickman Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1588898753.
Healthcare Provider's Profile
Full Name | Jeff Hickman Llc |
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Type | Facility |
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Speciality | Clinic/center - Primary Care |
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Location | 202 W Missouri St, Walters, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588898753
- Provider Enumeration Date: 05/04/2009
- Last Update Date: 02/23/2010
Medical Identifiers
Medical identifiers for Jeff Hickman Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588898753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3926 (Oklahoma) | Secondary |
261QP2300X | Clinic/center - Primary Care | 1298 (Oklahoma) | Primary |
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. Jeff Hickman Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeff Hickman Llc 13811 Sw Baseline Rd, Faxon, OK 73540-4418 Ph: (580) 510-3005 | Jeff Hickman Llc 202 W Missouri St, Walters, OK 73572-1246 Ph: (580) 875-2800 |
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