| Rebecca Soskin Hicks, MD | |
|
2084 Ne Professional Ct, Bend, OR 97701-6077 | |
| (541) 383-3005 | |
| (541) 383-1883 |
| Full Name | Rebecca Soskin Hicks |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2084 Ne Professional Ct, Bend, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356520639 | NPI | - | NPPES |
| 500727394 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD182573 (Oregon) | Primary |
| Entity Name | Mosaic Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Soskin Hicks, MD Po Box 4228, Portland, OR 97208-4228 Ph: (541) 383-3005 | Rebecca Soskin Hicks, MD 2084 Ne Professional Ct, Bend, OR 97701-6077 Ph: (541) 383-3005 |
Benjamin Bruno Barsotti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813 | |
Dr. Brenna Kathryn Lewis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813 | |
Mr. Stacy C. Berube, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Ne Professional Ct, Bend, OR 97701 Phone: 541-389-6313 Fax: 541-389-8760 | |
Dr. Kristi A Nix, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-4900 | |
Scott Chambers Olson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Erika Stephanie Beard-irvine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Ne Revere Ave, Bend, OR 97701 Phone: 541-241-6371 Fax: 877-991-7408 | |
Dr. Michelle R Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-4900 |