| Michael J Hicks, MD | |
|
4000 Route 130 Bldg C, Delran, NJ 08075-2414 | |
| (856) 705-0685 | |
| Not Available |
| Full Name | Michael J Hicks |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 48 Years |
| Location | 4000 Route 130 Bldg C, Delran, New Jersey |
| 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 |
|---|---|---|---|
| 1245232198 | NPI | - | NPPES |
| 0008913770010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD023250E (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 25MA09803100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patient First Pennsylvania Medical Group Pllc | 5193900280 | 136 |
| Patient First New Jersey Physicians Group Llc | 6608220322 | 45 |
| Entity Name | Patient First Pennsylvania Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194039560 PECOS PAC ID: 5193900280 Enrollment ID: O20110505000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Hicks, MD 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700 | Michael J Hicks, MD 4000 Route 130 Bldg C, Delran, NJ 08075-2414 Ph: (856) 705-0685 |
Dr. Stephen Evan Kabel, D. O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26 Haines Mill Rd, Delran, NJ 08075 Phone: 856-461-6200 Fax: 856-461-4013 | |
Mrs. Maureen Keller, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2906 Route 130 South, Suite 201, Delran, NJ 08075 Phone: 856-764-4115 Fax: 856-764-4116 | |
Dr. Annabelle Bello Dimapilis, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Route 130 Bldg C, Delran, NJ 08075 Phone: 856-705-0685 | |
Marie Z Kairys, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 950 S Chester Ave, Delran, NJ 08075 Phone: 856-536-1515 Fax: 856-412-5345 |