| Amy L Hicks, PA-C | |
|
1 Trillium Way, Corbin, KY 40701-8727 | |
| (606) 528-1212 | |
| Not Available |
| Full Name | Amy L Hicks |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1 Trillium Way, Corbin, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124254537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Em-i Medical Services Psc | 8325001175 | 42 |
| Entity Name | Southern Medical Partners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538109962 PECOS PAC ID: 8123923679 Enrollment ID: O20031206000036 |
| Entity Name | Kentucky Em-i Medical Services PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356848121 PECOS PAC ID: 8325001175 Enrollment ID: O20041111000775 |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Williamson Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740492644 PECOS PAC ID: 5294828562 Enrollment ID: O20070831000176 |
| Entity Name | Middlesborough Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972715878 PECOS PAC ID: 9335232321 Enrollment ID: O20070907000084 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy L Hicks, PA-C 1431 Centerpoint Blvd, Suite 1o0, Knoxville, TN 37932-1984 Ph: (865) 985-7068 | Amy L Hicks, PA-C 1 Trillium Way, Corbin, KY 40701-8727 Ph: (606) 528-1212 |
Amanda Marie Brandon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way, Suite 306, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 |
Jacquelyne Anne Friebis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 Fax: 606-528-8661 |
Mrs. Amanda Kathryn Hammons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 306, Corbin, KY 40701 Phone: 606-526-4070 |
Dustin Scott Ammerman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1498 W Cumberland Gap Pkwy, Corbin, KY 40701 Phone: 606-280-7875 |
Mr. Jon-mark French, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 116 South Commonwealth Avenue, Corbin, KY 40701 Phone: 800-226-8874 |
Sara Chasteen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Bryan Blvd Ste 200, Corbin, KY 40701 Phone: 606-528-1172 Fax: 606-528-7169 |
Mrs. Larrietta Leann Elliotte, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-526-4449 |