Kappi R Hickman, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Englewood, Ohio. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is
1250 W National Rd, Ste 400, Englewood, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 224-4646.
Kappi R Hickman is licensed to practice in Ohio (license number I.0600097.SUPV) 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 1073877676.
Healthcare Provider's Profile
Full Name | Kappi R Hickman |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 21 Years |
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Location | 1250 W National Rd, Englewood, Ohio |
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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. |
Medical Education and Training:
- Kappi R Hickman graduated from medical school in 2003
NPI Data:
- NPI Number: 1073877676
- Provider Enumeration Date: 06/28/2012
- Last Update Date: 04/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446406185
- Enrollment ID: I20120810000633
Medical Identifiers
Medical identifiers for Kappi R Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073877676 | NPI | - | NPPES |
0366425 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I.0600097.SUPV (Ohio) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kettering Independent Medical Group Inc | 3173710936 | 586 |
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. Kappi R Hickman allows following entities to bill medicare on her behalf.
Entity Name | Alliance Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
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Entity Name | Kettering Independent Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
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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. Kappi R Hickman 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 |
Kappi R Hickman, LISW-S 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Kappi R Hickman, LISW-S 1250 W National Rd, Ste 400, Englewood, OH 45315-9506 Ph: (937) 224-4646 |
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