Mr Jeremiah Wayne Hicks, LCSW, CAADC, CCDPD in State College, PA

Mr Jeremiah Wayne Hicks, LCSW, CAADC, CCDPD is a medicare enrolled "Social Worker - Clinical" provider in State College, Pennsylvania. His current practice location is 1993 Cato Ave, State College, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 231-8820.

Mr Jeremiah Wayne Hicks is licensed to practice in Pennsylvania (license number CW017437) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477890382.

Contact Information

	Mr Jeremiah Wayne Hicks, LCSW, CAADC, CCDPD
	1993 Cato Ave, State College, PA 16801-2754
	(814) 231-8820
	(814) 231-8857

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeremiah Wayne Hicks
Gender	Male
Speciality	Social Worker - Clinical
Location	1993 Cato Ave, State College, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477890382
Provider Enumeration Date: 01/11/2013
Last Update Date: 10/18/2017

Medicare PECOS Information:

PECOS PAC ID: 6406120120
Enrollment ID: I20171122000322

Medical Identifiers

Medical identifiers for Mr Jeremiah Wayne Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477890382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW017437 (Pennsylvania)	Primary

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. Mr Jeremiah Wayne Hicks allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242

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. Mr Jeremiah Wayne 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
Mr Jeremiah Wayne Hicks, LCSW, CAADC, CCDPD 1993 Cato Ave, State College, PA 16801-2754 Ph: (814) 231-8820	Mr Jeremiah Wayne Hicks, LCSW, CAADC, CCDPD 1993 Cato Ave, State College, PA 16801-2754 Ph: (814) 231-8820

Reviews and Comments

Social Worker in State College, PA

Evelyn K. Bartsch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Radnor Rd, Suite 101, State College, PA 16801 Phone: 814-867-0670 Fax: 814-867-7616
Mrs. Linda Stanger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1315 W College Ave Ste 303, State College, PA 16801 Phone: 970-901-0199 Fax: 970-765-0555
Ms. Meghan Fritz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 Rolling Ridge Drive, Suite 100, State College, PA 16801 Phone: 814-867-0670 Fax: 814-867-7616
Ms. Paula Lyn Boyer, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Rolling Ridge Dr, Suite 100, State College, PA 16801 Phone: 814-867-0670 Fax: 814-867-7616
Anna Elizabeth Kramer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Fox Hill Rd, State College, PA 16803 Phone: 814-238-4851
Jennifer Twichell Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 S Allen St Ste 102, State College, PA 16801 Phone: 814-308-9067 Fax: 814-308-9073
Ms. M Elaine Loughlin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Beaver Ave, Suite 9, State College, PA 16801 Phone: 360-643-3589

Mr Jeremiah Wayne Hicks, LCSW, CAADC, CCDPD - Medicare Clinical Social Worker in State College, PA