Paul C Hicks, MD | |
50 N. Wilson Road, Columbus, OH 43204 | |
(614) 702-7915 | |
(614) 965-6534 |
Full Name | Paul C Hicks |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 50 N. Wilson Road, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306822457 | NPI | - | NPPES |
01370220 | Medicaid | OH | |
P00685830 | Other | AZ | RAILROAD MEDICARE |
01370220 | Medicaid | CO | |
392564 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37022 (Colorado) | Secondary |
207Q00000X | Family Medicine | 35.122335 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Central Ohio Hospitalists, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659455145 PECOS PAC ID: 7810985686 Enrollment ID: O20040503000515 |
Entity Name | Dedicated Columbus Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538798483 PECOS PAC ID: 9032445929 Enrollment ID: O20190730004345 |
Entity Name | Dedicated Ohio Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922631019 PECOS PAC ID: 2769718659 Enrollment ID: O20200508000335 |
Mailing Address | Practice Location Address |
---|---|
Paul C Hicks, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | Paul C Hicks, MD 50 N. Wilson Road, Columbus, OH 43204 Ph: (614) 702-7915 |
Dr. Teresa Thuanh Phan, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 41 S High St, Suite 25, Columbus, OH 43215 Phone: 614-533-6700 Fax: 614-224-8562 | |
Dr. Anne Marie Kessler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 E Town St, Columbus, OH 43215 Phone: 614-788-5400 Fax: 614-788-5500 | |
Labronz C Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2872 W Broad St, Columbus, OH 43204 Phone: 614-279-9905 Fax: 614-279-0213 | |
Dana S Vallangeon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 524b W Broad St, Columbus, OH 43215 Phone: 614-225-0990 Fax: 614-225-0988 | |
Scott H Merryman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3773 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-5356 Fax: 614-566-3835 | |
Karen Alice Clemency, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1020 Dennison Ave, Suite 200, Columbus, OH 43201 Phone: 614-564-9067 Fax: 614-564-9167 | |
Marc Evan Serve, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Polaris Pkwy Ste 200, Columbus, OH 43240 Phone: 614-880-9333 Fax: 614-880-9333 |