Summer Lynne Hickam, PHD is a medicare enrolled "Psychologist" provider in Spokane, Washington. She went to University Of Utah School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
124 E Short Ave, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 838-4651.
Summer Lynne Hickam is licensed to practice in Washington (license number PY60901089) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1407324056.
Healthcare Provider's Profile
| Full Name | Summer Lynne Hickam |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 124 E Short Ave, Spokane, Washington |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Summer Lynne Hickam attended and graduated from University Of Utah School Of Medicine in 2018
NPI Data:
- NPI Number: 1407324056
- Provider Enumeration Date: 11/12/2018
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355862574
- Enrollment ID: I20250304003643
Medical Identifiers
Medical identifiers for Summer Lynne Hickam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407324056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | MC60299571 (Washington) | Secondary |
| 103T00000X | Psychologist | PY60901089 (Washington) | 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. Summer Lynne Hickam allows following entities to bill medicare on her behalf.
| Entity Name | Frontier Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861495327 PECOS PAC ID: 5092603340 Enrollment ID: O20040308001191 |
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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. Summer Lynne Hickam 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 |
Summer Lynne Hickam, PHD 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651 | Summer Lynne Hickam, PHD 124 E Short Ave, Spokane, WA 99202-1555 Ph: (509) 838-4651 |
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