| Dr Michelle Hicks, DO | |
|
35 Medical Center Pkwy, Augusta, ME 04330-8160 | |
| (207) 248-5000 | |
| Not Available |
| Full Name | Dr Michelle Hicks |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 35 Medical Center Pkwy, Augusta, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689813628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO3834 (Maine) | Secondary |
| 207P00000X | Emergency Medicine | 036126255 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | Q0648 (Texas) | Primary |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Questcare Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912059247 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
| Entity Name | Southwest General Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174560437 PECOS PAC ID: 9234100124 Enrollment ID: O20040804000536 |
| Entity Name | Texas Medicine Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220124000512 |
| Entity Name | Ies Central Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Hicks, DO 1011 N Galloway Ave, Mesquite, TX 75149-2433 Ph: (602) 570-7859 | Dr Michelle Hicks, DO 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 248-5000 |
Steven Moss, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-626-1000 | |
John R Joseph, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 E Chestnut St, Augusta, ME 04330 Phone: 207-626-1303 | |
Taylor Klein, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-248-5000 | |
Emory Elizabeth Liscord, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-248-5000 Fax: 207-626-1648 | |
Dr. Terrence W Flanagan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 E Chestnut St, Mainegeneral Medical Center, Augusta, ME 04330 Phone: 207-626-1303 Fax: 207-626-1648 | |
Dr. Douglas Robert Wood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Whitten Rd, Augusta, ME 04330 Phone: 207-466-2400 | |
Nicholas Grillo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-248-5000 Fax: 207-626-1648 |