Ms Sherese Evette Hicks, LPE-I is a medicare enrolled "Psychologist" provider in Russellville, Arkansas. Her current practice location is
110 Skyline Dr, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 968-1298.
Ms Sherese Evette Hicks is licensed to practice in Arkansas (license number 202138) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700032810.
Healthcare Provider's Profile
Full Name | Ms Sherese Evette Hicks |
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Gender | Female |
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Speciality | Psychologist |
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Location | 110 Skyline Dr, Russellville, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700032810
- Provider Enumeration Date: 08/09/2008
- Last Update Date: 07/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436687902
- Enrollment ID: I20250110003457
Medical Identifiers
Medical identifiers for Ms Sherese Evette Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700032810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 9427EI (Arkansas) | Secondary |
103T00000X | Psychologist | 202138 (Arkansas) | 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. Ms Sherese Evette Hicks allows following entities to bill medicare on her behalf.
Entity Name | Still Waters Consulting Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326695271 PECOS PAC ID: 6901212968 Enrollment ID: O20210317001292 |
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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. Ms Sherese Evette 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 |
Ms Sherese Evette Hicks, LPE-I 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Ms Sherese Evette Hicks, LPE-I 110 Skyline Dr, Russellville, AR 72801 Ph: (479) 968-1298 |
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