| Dr Randall D Hicks, MD | |
|
2024 15th St Fl 2, Meridian, MS 39301-4130 | |
| (601) 553-2000 | |
| (601) 483-8869 |
| Full Name | Dr Randall D Hicks |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 41 Years |
| Location | 2024 15th St Fl 2, Meridian, Mississippi |
| 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 |
|---|---|---|---|
| 1982600060 | NPI | - | NPPES |
| 00114852 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 10697 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rcg Meridian | Meridian, MS | Dialysis facility |
| Rcg Of Philadelphia | Philadelphia, MS | Dialysis facility |
| Rcg Newton | Newton, MS | Dialysis facility |
| Rcg Mississippi, Inc | Meridian, MS | Dialysis facility |
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Physician Alliance Inc | 3274727318 | 64 |
| Entity Name | Meridian Medical Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316051766 PECOS PAC ID: 7113947797 Enrollment ID: O20051128000639 |
| Entity Name | Anderson Physician Alliance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760798227 PECOS PAC ID: 3274727318 Enrollment ID: O20101102000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall D Hicks, MD Po Box 749215, Atlanta, GA 30374-9215 Ph: (901) 226-3186 | Dr Randall D Hicks, MD 2024 15th St Fl 2, Meridian, MS 39301-4130 Ph: (601) 553-2000 |
Charandle S Jordan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-483-0011 | |
Dr. Frederick T Duggan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1600 22nd Ave, Medical Towers Iii, Meridian, MS 39301 Phone: 601-483-5322 Fax: 601-581-2289 | |
Eric Edward Holt I, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1600 22nd Ave, Meridian, MS 39301 Phone: 601-483-5322 | |
Christopher W Swift, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4078 | |
Dr. Adam M Parker, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700 | |
Dr. Ruba F. Barakat, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1600 22nd Ave, Meridian, MS 39301 Phone: 601-483-5322 Fax: 601-581-2289 | |
Dr. William Greg Thaggard, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2024 15th St Fl 2, Meridian, MS 39301 Phone: 601-553-2000 Fax: 601-553-6746 |