Karla Hicks Corporation is a
Family Medicine based in South Bend, Indiana. Karla Hicks Corporation is licensed to practice in * (Not Available) (license number ) and their current practice location is
2610 E Jefferson Blvd, South Bend, Indiana. It can be reached at their office (for appointments etc.) via phone at
(574) 232-3000.
NPI number for Karla Hicks Corporation is 1255487476 and their current mailing address is 2610 E Jefferson Blvd, South Bend, Indiana. Karla Hicks Corporation
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1255487476.
Healthcare Provider's Profile
| Full Name | Karla Hicks Corporation |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 2610 E Jefferson Blvd, South Bend, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255487476
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 08/23/2007
Medical Identifiers
Medical identifiers for Karla Hicks Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255487476 | NPI | - | NPPES |
| 000000508824 | Other | IN | BC/BS GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | 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. Karla Hicks Corporation 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 |
|---|
Karla Hicks Corporation
2610 E Jefferson Blvd,
South Bend, IN 46615-2724
Ph: (574) 232-3000 | Karla Hicks Corporation
2610 E Jefferson Blvd,
South Bend, IN 46615-2724
Ph: (574) 232-3000 |
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