Phillip Hicks, is a
Anesthesiology physician based in Clinton, Missouri. Phillip Hicks is licensed to practice in Missouri (license number 122530) and his current practice location is 1600 N 2nd St, Clinton, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 890-7103.
NPI number for Phillip Hicks is 1063563864 and his current mailing address is 2003 Epicurean Dr, Clinton, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063563864.
Physician's Profile
| Full Name | Phillip Hicks |
|---|
| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 1600 N 2nd St, Clinton, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063563864
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 08/18/2010
Medical Identifiers
Medical identifiers for Phillip Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063563864 | NPI | - | NPPES |
| 915043905 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 122530 (Missouri) | 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. Phillip Hicks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Phillip Hicks,
2003 Epicurean Dr,
Clinton, MO 64735-1887
Ph: (660) 890-7103 | Phillip Hicks,
1600 N 2nd St,
Clinton, MO 64735-1192
Ph: (660) 890-7103 |
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