| James Edward Hicks, DC | |
|
1461 W Main St, Salem, VA 24153-3120 | |
| (540) 375-9220 | |
| (434) 793-9315 |
| Full Name | James Edward Hicks |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1461 W Main St, Salem, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679637623 | NPI | - | NPPES |
| 52222642800 | Other | OH | BWC NUMBER |
| 0261103 | Medicaid | OH | |
| 000000204939 | Other | OH | ANTHEM BLUE CROSS BLUE SH |
| 522226428 | Other | OH | TAX I.D. |
| 522226428027 | Other | OH | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104557201 (Virginia) | Primary |
| 111N00000X | Chiropractor | 4710 (North Carolina) | Secondary |
| Provider Name | Coremedx Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275175705 PECOS PAC ID: 3577999739 Enrollment ID: O20200206000935 |
| Mailing Address | Practice Location Address |
|---|---|
| James Edward Hicks, DC Po Box 681789, Franklin, TN 37068-1789 Ph: (615) 435-0584 | James Edward Hicks, DC 1461 W Main St, Salem, VA 24153-3120 Ph: (540) 375-9220 |
Kennedy Chiropractic Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1461 W Main St, Salem, VA 24153 Phone: 540-375-9220 Fax: 540-375-9229 | |
Dr. Patrick D Kennedy, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1461 W Main St, Salem, VA 24153 Phone: 540-375-9220 Fax: 540-375-9229 | |
Dr. Joseph Max Foley, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 708 S Colorado St, Salem, VA 24153 Phone: 540-389-2492 Fax: 540-389-6958 | |
Dr. John Patrick Mcnamara, MS, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27 W Calhoun St, Salem, VA 24153 Phone: 540-389-7051 Fax: 540-389-2050 | |
Dr. Diane L Dereu-foley, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 708 S Colorado St, Salem, VA 24153 Phone: 540-389-2492 Fax: 540-389-6958 | |
Dr. Troy M May, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 918 Apperson Dr, Salem, VA 24153 Phone: 540-387-3769 Fax: 540-387-3769 | |
Roanoke Chiropractic Health Center,inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 511 Roanoke Blvd, Ste 1, Salem, VA 24153 Phone: 540-375-6686 Fax: 540-375-6686 |