Amy Jo Hicks, is a medicare enrolled "Social Worker - Clinical" provider in Mountain Home A F B, Idaho. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is
90 Hope Dr, Bldg. 6000, Mountain Home A F B, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 828-7580.
Amy Jo Hicks is licensed to practice in Idaho (license number LCSW 27371) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467773903.
Healthcare Provider's Profile
| Full Name | Amy Jo Hicks |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 31 Years |
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| Location | 90 Hope Dr, Mountain Home A F B, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy Jo Hicks graduated from medical school in 1993
NPI Data:
- NPI Number: 1467773903
- Provider Enumeration Date: 06/18/2010
- Last Update Date: 10/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 0749424760
- Enrollment ID: I20210429002586
Medical Identifiers
Medical identifiers for Amy Jo Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467773903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | LCSW 27371 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Lukes Clinic-treasure Valley Llc | 4981878402 | 968 |
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. Amy Jo Hicks allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic-treasure Valley Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045 |
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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. Amy Jo Hicks 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 Address | Practice Location Address |
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Amy Jo Hicks,
90 Hope Dr, Bldg. 6000,
Mountain Home A F B, ID 83648-1057
Ph: (208) 828-7580 | Amy Jo Hicks,
90 Hope Dr, Bldg. 6000,
Mountain Home A F B, ID 83648-1057
Ph: (208) 828-7580 |
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