| M John Hicks, MD | |
|
504 Medical Center Blvd, Conroe, TX 77304-2808 | |
| (713) 481-3544 | |
| (713) 432-0221 |
| Full Name | M John Hicks |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 37 Years |
| Location | 504 Medical Center Blvd, Conroe, Texas |
| 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 |
|---|---|---|---|
| 1578568531 | NPI | - | NPPES |
| 117408801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | J1685 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Childrens Hospital | 0244298446 | 19 |
| Entity Name | Texas Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487600334 PECOS PAC ID: 0244298446 Enrollment ID: O20041220000826 |
| Mailing Address | Practice Location Address |
|---|---|
| M John Hicks, MD Po Box 4677, Houston, TX 77210-4677 Ph: () - | M John Hicks, MD 504 Medical Center Blvd, Conroe, TX 77304-2808 Ph: (713) 481-3544 |
Michelle Hebert, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 713-432-1100 Fax: 713-432-0221 | |
Anne S. Witson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 713-481-3544 Fax: 713-432-0221 | |
Emilie Rouah, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 713-481-3544 Fax: 713-432-0221 | |
Peter Allen Powaser, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 713-481-3544 Fax: 713-432-0221 | |
Jacqueline Elizabeth Monheit, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 713-481-3544 Fax: 713-432-0221 | |
David Houston Yawn, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 713-481-3544 Fax: 713-432-0221 | |
Mary Ostrowski, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 713-481-3544 Fax: 713-432-0221 |