Andrea Hickman, is a
Student In An Organized Health Care Education/training Program based in Mesa, Arizona. Andrea Hickman is licensed to practice in * (Not Available) (license number ) and her current practice location is
2156 S 106th Pl, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 323-5926.
NPI number for Andrea Hickman is 1508718305 and her current mailing address is 2156 S 106th Pl, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508718305.
Provider's Profile
| Full Name | Andrea Hickman |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2156 S 106th Pl, Mesa, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508718305
- Provider Enumeration Date: 02/12/2026
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Andrea Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508718305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Andrea Hickman 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 |
|---|
Andrea Hickman,
2156 S 106th Pl,
Mesa, AZ 85209-1551
Ph: () - | Andrea Hickman,
2156 S 106th Pl,
Mesa, AZ 85209-1551
Ph: (480) 323-5926 |
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