Dr Jennifer O Hicks, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Canton, Mississippi. She went to Meharry Medical College School Of Medicine and graduated in 1978 and has 47 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Mallory Community Health and her current practice location is
276 Nissan Pkwy, Building E Suite 100, Canton, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 855-4880.
Dr Jennifer O Hicks is licensed to practice in Mississippi (license number 09855) 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 1649231408.
Physician's Profile
| Full Name | Dr Jennifer O Hicks |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 47 Years |
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| Location | 276 Nissan Pkwy, Canton, Mississippi |
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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. |
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Medical Education and Training:
- Dr Jennifer O Hicks attended and graduated from Meharry Medical College School Of Medicine in 1978
NPI Data:
- NPI Number: 1649231408
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 09/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 2860417896
- Enrollment ID: I20051010000415
Medical Identifiers
Medical identifiers for Dr Jennifer O Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649231408 | NPI | - | NPPES |
| D00992 | Other | MS | UPIN |
| 00114331 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 09855 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mallory Community Health | 9739074501 | 5 |
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 Jennifer O Hicks allows following entities to bill medicare on her behalf.
| Entity Name | Madison Hma Physician Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740359249
PECOS PAC ID: 1355444035
Enrollment ID: O20070319000178 |
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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. Dr Jennifer O 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 |
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Dr Jennifer O Hicks, MD
276 Nissan Pkwy, Building E Suite 100,
Canton, MS 39046-7006
Ph: (601) 855-4880 | Dr Jennifer O Hicks, MD
276 Nissan Pkwy, Building E Suite 100,
Canton, MS 39046-7006
Ph: (601) 855-4880 |
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