Dr Brandon Clark Hicks, MD | |
620 N Main St, Harrison, AR 72601-2911 | |
(501) 686-8000 | |
Not Available |
Full Name | Dr Brandon Clark Hicks |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 620 N Main St, Harrison, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881867398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | E-8682 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Arkansas Regional Medical Center | Harrison, AR | Hospital |
Baxter Regional Medical Center | Mountain home, AR | Hospital |
Cox Medical Center Branson | Branson, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arkansas Specialty Radiology Pllc | 8325047236 | 4 |
Radiology Associates Of The Ozarks, Pllc | 4880901578 | 3 |
Resort Radiology, Pllc | 0042648420 | 4 |
Radiology Associates Of The Ozarks, Pllc | 4880901578 | 3 |
Entity Name | Arkansas Specialty Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598843989 PECOS PAC ID: 8325047236 Enrollment ID: O20061204000116 |
Entity Name | Radiology Associates Of The Ozarks, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316327943 PECOS PAC ID: 4880901578 Enrollment ID: O20150912000018 |
Entity Name | Resort Radiology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144853821 PECOS PAC ID: 0042648420 Enrollment ID: O20200318000939 |
Mailing Address | Practice Location Address |
---|---|
Dr Brandon Clark Hicks, MD 219 Landon Ln, Harrison, AR 72601-1814 Ph: (501) 240-4096 | Dr Brandon Clark Hicks, MD 620 N Main St, Harrison, AR 72601-2911 Ph: (501) 686-8000 |
Craig B Olson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 North Main, Harrison, AR 72601 Phone: 870-365-2244 Fax: 870-365-2438 | |
Christopher Bennett, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 N Main St, Harrison, AR 72601 Phone: 479-968-7930 Fax: 479-968-1673 |