| Dr Michael L Hicks, MD | |
|
44405 Woodward Ave, 202, Pontiac, MI 48341-5023 | |
| (248) 858-2270 | |
| (248) 335-6171 |
| Full Name | Dr Michael L Hicks |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 39 Years |
| Location | 44405 Woodward Ave, Pontiac, Michigan |
| 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 |
|---|---|---|---|
| 1194772020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 4301406967 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Entity Name | Sjmh Medical Practice-smhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770 |
| Entity Name | Michael L. Hicks, Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427161306 PECOS PAC ID: 2163479288 Enrollment ID: O20050331001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael L Hicks, MD 6019 Carmen Ct W, Orchard Lake, MI 48324-2919 Ph: (248) 760-2239 | Dr Michael L Hicks, MD 44405 Woodward Ave, 202, Pontiac, MI 48341-5023 Ph: (248) 858-2270 |
Julie Nguyen, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6272 | |
Dr. Nikki Ann Reyes Medina, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3231 | |
Wahib Shaker, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 44428 Woodward Ave, Suite 104, Pontiac, MI 48341 Phone: 248-858-6272 Fax: 248-858-6279 | |
Samantha Lynn Tremmel, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave Dept H23, Pontiac, MI 48341 Phone: 248-858-3231 Fax: 248-858-6279 | |
Claudia Kassouf, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Avenue, Graduate Medical Education Dept, Pontiac, MI 48341 Phone: 248-858-3231 | |
Katherine Ackerman, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3231 |