| Homer David Hickey Jr, MD | |
|
1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 | |
| (901) 252-3400 | |
| (901) 682-0047 |
| Full Name | Homer David Hickey Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1325 Wolf Park Dr, Germantown, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114985272 | NPI | - | NPPES |
| 2005835 | Other | BLUE CROSS TN | |
| 3153875 | Medicaid | TN | |
| 4664755 | Other | AETNA | |
| 02110025700 | Other | QUAL CHOICE | |
| 770396 | Other | FIRST HEALTH | |
| 12939795 | Other | PHCS | |
| 3153875 | Other | ALL OTHER TENNCARE PLANS | |
| 6107353 | Other | CIGNA | |
| 12939795 | Other | HEALTH ASSURANCE EPA | |
| 2005835 | Other | TENNCARE SELECT | |
| 211159 | Other | SOUTHERN HEALTH SERVICES | |
| 381844 | Other | HEALTH LINK | |
| 92802 | Other | BLUE CROSS AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 05554 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Homer David Hickey Jr, MD 1325 Wolf Park Dr, Suite 103, Germantown, TN 38138-1742 Ph: (901) 252-3411 | Homer David Hickey Jr, MD 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 Ph: (901) 252-3400 |
Harold Michael Mcswain, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-682-0047 | |
Paul Richard Eber, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-682-0047 | |
Matthew Earl Sims, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1325 Wolf Park Dr Ste 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-763-4305 | |
Holt Benjamin Maddux Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-682-0047 | |
Howard Bernhard Hasen Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-384-8840 | |
Ravi Dinesh Chauhan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-682-0047 |