| Elizabeth Amy Hicks, MD | |
|
1000 Bellinger Rd, Bellingham, WA 98226-7574 | |
| (858) 775-6513 | |
| Not Available |
| Full Name | Elizabeth Amy Hicks |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1000 Bellinger Rd, Bellingham, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003962655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A89215 (California) | Secondary |
| 225700000X | Massage Therapist | MA61457610 (Washington) | Secondary |
| 208000000X | Pediatrics | BC60332422 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Seattle Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Amy Hicks, MD 4800 Sand Point Way Ne, Seattle, WA 98105-3901 Ph: (206) 987-2599 | Elizabeth Amy Hicks, MD 1000 Bellinger Rd, Bellingham, WA 98226-7574 Ph: (858) 775-6513 |
Mara Wells Kelley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-752-5678 | |
Nancy K Bischoff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 | |
Steven F. Wallace, M.D.,PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-752-5679 | |
Julianne Elise Edwards, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-738-2200 Fax: 360-752-5683 | |
Alyse Watkins, DNP, CPNP-PC/AC Pediatrics Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy Ste 1e, Bellingham, WA 98226 Phone: 360-752-5246 Fax: 360-752-5678 | |
James J. Bochsler, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4545 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-715-2486 |