Jacqueline Hicks, - Medicare Nurse Practitioner in Camden, TN

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Jacqueline Hicks, is a medicare enrolled "Nurse Practitioner" in Camden, Tennessee. Her current practice location is 284 Highway 641 N, Camden, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 213-2446.

Jacqueline Hicks is licensed to practice in Tennessee (license number 0000023945) 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 1245735943.

Contact Information

Jacqueline Hicks,
284 Highway 641 N,
Camden, TN 38320-1350
(731) 213-2446
(731) 213-2447

Map and Direction




Provider's Profile

Full NameJacqueline Hicks
GenderFemale
SpecialityNurse Practitioner
Location284 Highway 641 N, Camden, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245735943
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 11/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486995388
  • Enrollment ID: I20190402002034

Medical Identifiers

Medical identifiers for Jacqueline Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245735943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23945 (Tennessee)Secondary
363L00000XNurse Practitioner 0000023945 (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. Jacqueline Hicks allows following entities to bill medicare on her behalf.
Entity NameMckenzie Medical Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700534229
PECOS PAC ID: 2365427853
Enrollment ID: O20040619000083
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

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. Jacqueline 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 AddressPractice Location Address
Jacqueline Hicks,
284 Highway 641 N,
Camden, TN 38320-1350

Ph: (731) 213-2446		Jacqueline Hicks,
284 Highway 641 N,
Camden, TN 38320-1350

Ph: (731) 213-2446

Reviews and Comments


Nurse Practitioner Nurses in Camden, TN

Dr. Tammie Sue Holcomb, DNP, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 190 W Main St, Camden, TN 38320
Phone: 731-213-2662    Fax: 731-213-2539
Mr. Steven Lee Cannady, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 Hospital Dr, Camden, TN 38320
Phone: 731-584-3330    Fax: 731-584-3332
Amanda Leigh Flood, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 176 Briarwood St Ste B, Camden, TN 38320
Phone: 731-213-2720    Fax: 901-350-3677
Ms. Cristie Anne Vibbert, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 190 W Main St, Camden, TN 38320
Phone: 731-213-2662    
Jennifer Dawn Davis, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 186 Hospital Dr, Camden, TN 38320
Phone: 731-584-3151    Fax: 731-584-3168
Mrs. Virginia Margarita Peebles, APN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 176 Briarwood Ave, Suite B, Camden, TN 38320
Phone: 731-584-5144    Fax: 731-584-7477

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.