| Jordan Hickman, PA-C | |
|
2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | |
| (605) 675-1000 | |
| Not Available |
| Full Name | Jordan Hickman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801211123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kadlec Regional Medical Center | 9739098617 | 402 |
| Entity Name | Kadlec Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
| Entity Name | Express Care Wa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821554452 PECOS PAC ID: 6800128067 Enrollment ID: O20200221002370 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Hickman, PA-C 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 Ph: (605) 675-1000 | Jordan Hickman, PA-C 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 Ph: (605) 675-1000 |
Mr. Michael David Palmer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3132 |
Audrey Mcreavy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3354 |
Kimberly Ann Shea, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3111 Fax: 605-385-3620 |
Blake T Greenfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3111 |
Joshua R Paull, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-6700 |
Shelton John Fraser, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3168 |