Dr Kimberly Griffin Hicks, MD is a
Pediatrics physician based in Lenoir City, Tennessee. Dr Kimberly Griffin Hicks is licensed to practice in Tennessee (license number MD34033) and her current practice location is 460 Medical Park Dr, Suite 108, Lenoir City, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 271-9536.
NPI number for Dr Kimberly Griffin Hicks is 1467480327 and her current mailing address is 460 Medical Park Dr, Suite 108, Lenoir City, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467480327.
Physician's Profile
| Full Name | Dr Kimberly Griffin Hicks |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 460 Medical Park Dr, Lenoir City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467480327
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 12/03/2012
Medical Identifiers
Medical identifiers for Dr Kimberly Griffin Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467480327 | NPI | - | NPPES |
| 1516025 | Medicaid | TN | |
| 64054729 | Medicaid | KY | |
| 3496552 | Medicaid | TN | |
| 4034474 | Other | TN | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD34033 (Tennessee) | Primary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD34033 (Tennessee) | Secondary |
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 Kimberly Griffin Hicks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kimberly Griffin Hicks, MD
460 Medical Park Dr, Suite 108,
Lenoir City, TN 37772-5782
Ph: (865) 271-9536 | Dr Kimberly Griffin Hicks, MD
460 Medical Park Dr, Suite 108,
Lenoir City, TN 37772-5782
Ph: (865) 271-9536 |
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