Chuan He Hicks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Eisenhower, Georgia. Her current practice location is
300 East Hospital Road, Fort Eisenhower, Georgia. You can reach out to her office (for appointments etc.) via phone at
(347) 484-1987.
Chuan He Hicks is licensed to practice in Georgia (license number 124620) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548724651.
Provider's Profile
Full Name | Chuan He Hicks |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 300 East Hospital Road, Fort Eisenhower, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548724651
- Provider Enumeration Date: 01/23/2019
- Last Update Date: 04/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931440542
- Enrollment ID: I20190409001314
Medical Identifiers
Medical identifiers for Chuan He Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548724651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 124620 (Georgia) | 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. Chuan He Hicks allows following entities to bill medicare on her behalf.
Entity Name | University Anesthesiology Assoc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790722593 PECOS PAC ID: 4789586314 Enrollment ID: O20040123000807 |
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Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
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Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
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Entity Name | Piedmont Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
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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. Chuan He 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 |
Chuan He Hicks, CRNA 710 Spooner Dr, Evans, GA 30809-5860 Ph: () - | Chuan He Hicks, CRNA 300 East Hospital Road, Fort Eisenhower, GA 30905 Ph: (347) 484-1987 |
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