Charlene Hicks, NP in Leakesville, MS - Medicare Nurse Practitioner

Charlene Hicks, NP is a medicare enrolled "Nurse Practitioner - Family" in Leakesville, Mississippi. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Mississippi Rural Health Initiative, Inc., Southeast Mississippi Rural Health Initiative, Inc. and her current practice location is 70 Edmond Ln, Leakesville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 394-4135.

Charlene Hicks is licensed to practice in Mississippi (license number 901452) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235599515.

Contact Information

	Charlene Hicks, NP
	70 Edmond Ln, Leakesville, MS 39451-5706
	(601) 394-4135
	Not Available

Map and Direction

Provider's Profile

Full Name	Charlene Hicks
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	70 Edmond Ln, Leakesville, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlene Hicks graduated from nursing school in 2015

NPI Data:

NPI Number: 1235599515
Provider Enumeration Date: 03/01/2016
Last Update Date: 07/10/2026

Medicare PECOS Information:

PECOS PAC ID: 3274828330
Enrollment ID: I20180829000792

Medical Identifiers

Medical identifiers for Charlene Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235599515	NPI	-	NPPES
697484	Other	MS	MEDICARE PIN
03437726	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	901452 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kare In Home Health Services	Gulfport, MS	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Mississippi Rural Health Initiative, Inc.	2466342605	36
Southeast Mississippi Rural Health Initiative, Inc.	2466342605	36

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. Charlene Hicks allows following entities to bill medicare on her behalf.

Entity Name	Southeast Mississippi Rural Health Initiative, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300

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. Charlene Hicks 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
Charlene Hicks, NP Po Box 16285, Hattiesburg, MS 39404-6285 Ph: (601) 318-0669	Charlene Hicks, NP 70 Edmond Ln, Leakesville, MS 39451-5706 Ph: (601) 394-4135

Reviews and Comments

Nurse Practitioner Nurses in Leakesville, MS

Mr. Eric Ashley Mccraney, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-947-1330 Fax: 601-947-1331
Danielle Eubanks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381
Wesley Donovan Freeman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 Main St, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593
Mrs. Kendall Shea Thornton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593
Caron Gibson Henderson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-5715
Cynthia W Denmark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413a Saint Francis St, Leakesville, MS 39451 Phone: 601-791-7001 Fax: 601-791-7016

Charlene Hicks, NP - Medicare Nurse Practitioner in Leakesville, MS