| Lisa E Hicks, PA-C | |
|
123 Emma Rd Ste 106, Basalt, CO 81621-9169 | |
| (970) 945-2840 | |
| Not Available |
| Full Name | Lisa E Hicks |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 123 Emma Rd Ste 106, Basalt, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285474973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspen Valley Hospital | Aspen, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Family Health Centers | 3173413101 | 20 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa E Hicks, PA-C Po Box 339, Glenwood Springs, CO 81602-0339 Ph: (970) 331-4363 | Lisa E Hicks, PA-C 123 Emma Rd Ste 106, Basalt, CO 81621-9169 Ph: (970) 945-2840 |
Christine Lynn Mcconnell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 123 Emma Rd Ste 106, Basalt, CO 81621 Phone: 970-945-2840 Fax: 970-945-2893 | |
Sarah Davis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 123 Emma Rd, Basalt, CO 81621 Phone: 970-945-2840 | |
Tracie E Walterscheid, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 123 Emma Rd, Basalt, CO 81621 Phone: 970-945-2840 Fax: 970-945-2893 | |
Miss Ashley Dawn Fitzpatrick, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1450 E Valley Rd Unit 102, Basalt, CO 81621 Phone: 980-927-4666 | |
Nicholas John Broom, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Robinson St, Basalt, CO 81621 Phone: 970-476-1100 | |
Grace Song, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1450 E Valley Rd, Suite 201, Basalt, CO 81621 Phone: 970-927-8611 Fax: 970-927-8633 |