| Tyson Hickle, MD | |
|
250 Hospital Pl, Soldotna, AK 99669-7559 | |
| (907) 714-4502 | |
| (907) 714-4696 |
| Full Name | Tyson Hickle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 250 Hospital Pl, Soldotna, Alaska |
| 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 |
|---|---|---|---|
| 1699193979 | NPI | - | NPPES |
| 1699522 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0116028145 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | MD61440052 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid-columbia Medical Center | The dalles, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-columbia Medical Center | 3779487251 | 97 |
| Entity Name | Mid-columbia Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Hickle, MD 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 Ph: () - | Tyson Hickle, MD 250 Hospital Pl, Soldotna, AK 99669-7559 Ph: (907) 714-4502 |
Dr. Stephen L. Hileman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Place, Central Peninsula General Hospital, Soldotna, AK 99669 Phone: 907-714-4444 Fax: 907-714-4699 | |
Aaron Michael Wonnacott, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444 | |
James Levine, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444 | |
Cynthia Sue Mildbrand, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444 | |
Angus Mcrae Warren, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4404 | |
Dr. Charles Chris Mickelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444 | |
Dr. Robert Ledda, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 250 Hospital Pl, Soldotna, AK 99669 Phone: 907-714-4444 |