Dr James Willis Hickerson Jr, MD in Clarksville, TN

Dr James Willis Hickerson Jr, MD is a medicare enrolled "Emergency Medicine" physician in Clarksville, Tennessee. He went to University Of Kentucky College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Carrollton Emergency Physicians Pc, Independence Emergency Physicians Llc and his current practice location is 651 Dunlop Ln, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 502-1370.

Dr James Willis Hickerson Jr is licensed to practice in Tennessee (license number 54424) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316207418.

Contact Information

	Dr James Willis Hickerson Jr, MD
	651 Dunlop Ln, Clarksville, TN 37040-5015
	(931) 502-1370
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr James Willis Hickerson Jr
Gender	Male
Speciality	Emergency Medicine
Experience	9 Years
Location	651 Dunlop Ln, Clarksville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr James Willis Hickerson Jr attended and graduated from University Of Kentucky College Of Medicine in 2015

NPI Data:

NPI Number: 1316207418
Provider Enumeration Date: 05/22/2012
Last Update Date: 08/18/2016

Medicare PECOS Information:

PECOS PAC ID: 6507189008
Enrollment ID: I20220311001029

Medical Identifiers

Medical identifiers for Dr James Willis Hickerson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316207418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	48514 (Kentucky)	Secondary
207P00000X	Emergency Medicine	54424 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tanner Medical Center - Carrollton	Carrollton, GA	Hospital
Tanner Medical Center Villa Rica	Villa rica, GA	Hospital
Higgins General Hospital	Bremen, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carrollton Emergency Physicians Pc	7416860010	10
Independence Emergency Physicians Llc	2264484971	11

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. Dr James Willis Hickerson Jr allows following entities to bill medicare on his behalf.

Entity Name	Carrollton Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790724672 PECOS PAC ID: 7416860010 Enrollment ID: O20040122001028

Entity Name	Independence Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164458832 PECOS PAC ID: 2264484971 Enrollment ID: O20050210000513

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. Dr James Willis Hickerson Jr 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
Dr James Willis Hickerson Jr, MD 651 Dunlop Ln, Clarksville, TN 37040-5015 Ph: (931) 502-1370	Dr James Willis Hickerson Jr, MD 651 Dunlop Ln, Clarksville, TN 37040-5015 Ph: (931) 502-1370

Reviews and Comments

Emergency Medicine Doctors in Clarksville, TN

John D Shields, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1771 Madison St, Clarksville, TN 37043 Phone: 931-552-6622
Dr. Malcolm A Steele, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370
Manickam Krishnamurthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370
Mark A Muiznieks, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane Clarksville, Clarksville, TN 37040 Phone: 931-502-1370
Dr. Russell Paul Landry Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane, Clarksville, TN 37040 Phone: 713-430-6095
Dr. Timothy L Obernuefemann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2320 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842

Dr James Willis Hickerson Jr, MD - Medicare Emergency Medicine in Clarksville, TN