Matthew David Hicks, CRNA in Rogers, AR - Medicare Nurse Anesthetist, Certified Registered

Matthew David Hicks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rogers, Arkansas. His current practice location is 1200 W Walnut St, Rogers, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 636-0200.

Matthew David Hicks is licensed to practice in Arkansas (license number CO1400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316907959.

Contact Information

	Matthew David Hicks, CRNA
	1200 W Walnut St, Rogers, AR 72756-3546
	(479) 636-0200
	(479) 936-2912

Map and Direction

Provider's Profile

Full Name	Matthew David Hicks
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1200 W Walnut St, Rogers, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316907959
Provider Enumeration Date: 03/27/2006
Last Update Date: 12/06/2007

Medicare PECOS Information:

PECOS PAC ID: 7911075130
Enrollment ID: I20081001000237

Medical Identifiers

Medical identifiers for Matthew David Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316907959	NPI	-	NPPES
919212001	Medicaid	MO
150123701	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CO1400 (Arkansas)	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. Matthew David Hicks allows following entities to bill medicare on his behalf.

Entity Name	Taylor Surgery Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740738897 PECOS PAC ID: 2163601675 Enrollment ID: O20110128000551

Entity Name	Orthomed Staffing Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20211230001313

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. Matthew David 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
Matthew David Hicks, CRNA Po Box 507, Lowell, AR 72745-0507 Ph: (816) 461-8288	Matthew David Hicks, CRNA 1200 W Walnut St, Rogers, AR 72756-3546 Ph: (479) 636-0200

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Rogers, AR

Steven Derek Ceola, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979
Matthew W Shelby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979
Helen Leighann Hong, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000
Chad Silvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 Fax: 479-338-3056
Dr. Brandon Jay Edmondson, DNAP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 801-500-2475
Julianna Felter, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000
Sean P Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912

Matthew David Hicks, CRNA - Medicare Nurse Anesthetist, Certified Registered in Rogers, AR