| Dr Russell D Hicks, MD | |
|
9330 59th Ave Sw, - Multicare Behavioral Health, Lakewood, WA 98499-2858 | |
| (253) 445-8120 | |
| (253) 697-8590 |
| Full Name | Dr Russell D Hicks |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 59 Years |
| Location | 9330 59th Ave Sw, Lakewood, Washington |
| 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 |
|---|---|---|---|
| 1215905302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD60336308 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Lakes Mental Health Foundation Inc | 7315836350 | 16 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Greater Lakes Mental Health Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell D Hicks, MD P.o. Box 5299, Ms: 1313-5-pco, Tacoma, WA 98415-0299 Ph: () - | Dr Russell D Hicks, MD 9330 59th Ave Sw, - Multicare Behavioral Health, Lakewood, WA 98499-2858 Ph: (253) 445-8120 |
Ms. Ileana Calinoiu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8805 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-756-2322 Fax: 253-756-3911 | |
Pietro M Poletti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9115 Bridgeport Way Sw Ste 1, Lakewood, WA 98499 Phone: 206-743-4469 Fax: 425-212-1808 | |
Alex Beugelsdijk, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9601 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-582-8900 | |
Dr. Armando Serna Heredia, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9601 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-582-8900 | |
Dr. Manuel Francisco Bautista, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9115 Bridgeport Way Sw, Ste 1, Lakewood, WA 98499 Phone: 253-581-6303 Fax: 253-581-3316 | |
John Gregory Zoltani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7502 Lakewood Dr W, Suite C-7, Lakewood, WA 98499 Phone: 253-581-8151 Fax: 253-581-8152 |