William Leslie Hickerson, MD in Memphis, TN

William Leslie Hickerson, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Memphis, Tennessee. His current practice location is 890 Madison Ave, Suite Tg032, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 448-2579.

William Leslie Hickerson is licensed to practice in Tennessee (license number 12709) 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 1033209606.

Contact Information

	William Leslie Hickerson, MD
	890 Madison Ave, Suite Tg032, Memphis, TN 38103-3409
	(901) 448-2579
	(901) 448-2602

Map and Direction

Physician's Profile

Full Name	William Leslie Hickerson
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	890 Madison Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033209606
Provider Enumeration Date: 10/13/2006
Last Update Date: 04/18/2025

Medicare PECOS Information:

PECOS PAC ID: 0941191605
Enrollment ID: I20050426000625

Medical Identifiers

Medical identifiers for William Leslie Hickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033209606	NPI	-	NPPES
00154377	Medicaid	MS
1033209606	Medicaid	MO
003179306A	Medicaid	GA
111048001	Medicaid	AR
3001590	Medicaid	TN
177555	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	E-4374 (Arkansas)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	E-4374 (Arkansas)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	12709 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. William Leslie Hickerson allows following entities to bill medicare on his behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. William Leslie Hickerson 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
William Leslie Hickerson, MD 890 Madison Ave, Suite Tg032, Memphis, TN 38103-3409 Ph: (901) 448-2579	William Leslie Hickerson, MD 890 Madison Ave, Suite Tg032, Memphis, TN 38103-3409 Ph: (901) 448-2579

Reviews and Comments

Surgery Doctors in Memphis, TN

Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203
Dr. Christine T Mroz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969
Miriam Wing San Tsao, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415
Dr. Jonathan J Ellichman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6401 Poplar Ave Ste 410, Memphis, TN 38119 Phone: 901-259-2718 Fax: 901-259-1123

William Leslie Hickerson, MD - Medicare Surgery in Memphis, TN