Mr Micah S Bicker, PA-C is a medicare enrolled "Physician Assistant" physician in Estacada, Oregon. His current practice location is
535 Ne 6th Ave, Estacada, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 630-8550.
Mr Micah S Bicker is licensed to practice in Oregon (license number PA175642) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518053511.
Physician's Profile
| Full Name | Mr Micah S Bicker |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 535 Ne 6th Ave, Estacada, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518053511
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 04/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123002961
- Enrollment ID: I20160803002818
Medical Identifiers
Medical identifiers for Mr Micah S Bicker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518053511 | NPI | - | NPPES |
| R188820 | Other | OR | MEDICARE PTAN |
| 100427720B | Medicaid | KS | |
| 1518053511 | Medicaid | WA | |
| 500710332 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA (Oregon) | Secondary |
| 363A00000X | Physician Assistant | 0325344 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | PA175642 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Micah S Bicker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Micah S Bicker, PA-C
4555 N Williams Ave,
Portland, OR 97217-2955
Ph: (971) 373-4165 | Mr Micah S Bicker, PA-C
535 Ne 6th Ave,
Estacada, OR 97023-9312
Ph: (503) 630-8550 |
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