| Dr Jennifer Ann Hickman, MD | |
|
611 W. Park St., Urbana, IL 61801-2500 | |
| (217) 383-3303 | |
| (217) 383-3265 |
| Full Name | Dr Jennifer Ann Hickman |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 22 Years |
| Location | 611 W. Park St., Urbana, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043399967 | NPI | - | NPPES |
| 1043399967 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Mckenzie-willamette Medical Center | Springfield, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Anesthesia Physicians Pc | 3274420138 | 81 |
| Entity Name | Willamette Valley Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785 |
| Entity Name | Northwest Anesthesia Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770531196 PECOS PAC ID: 3274420138 Enrollment ID: O20040304000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Ann Hickman, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Dr Jennifer Ann Hickman, MD 611 W. Park St., Urbana, IL 61801-2500 Ph: (217) 383-3303 |
Dr. Walter Knoll, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Timothy Andrew Ade, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Delbert Craig Klump, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Sadru A Dharamsy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 Fax: 217-383-3265 | |
Venugopal Polasani, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2000 | |
Matthew Christensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 |