| Joel Brian Hicks, | |
| 750 Morphy Ave, Fairhope, AL 36532-1812 | |
| (251) 928-2375 | |
| Not Available | 
| Full Name | Joel Brian Hicks | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 750 Morphy Ave, Fairhope, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023845823 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-164368 (Alabama) | Primary | 
| Entity Name | Eastern Shore Anesthesia, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467404558 PECOS PAC ID: 9830089978 Enrollment ID: O20040319001132 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joel Brian Hicks, 20798 Southwood St, Fairhope, AL 36532-7282 Ph: (334) 549-4437 | Joel Brian Hicks, 750 Morphy Ave, Fairhope, AL 36532-1812 Ph: (251) 928-2375 | 
| Ellen C. Bowman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-990-1109 Fax: 251-990-1112 | |
| Mary Vogle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-928-2375 | |
| Janet Lea Currey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-990-1109 | |
| Sherry L. Kern, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-990-1109 | |
| Chelsea Wieland,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 311 Magnolia Ave, Fairhope, AL 36532 Phone: 251-923-9706 | |
| Brian Hankins, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-990-1112 |