| Matthew Ryan Hicks, PA-C | |
|
1650 Cochrane Cir, Fort Carson, CO 80913-4613 | |
| (205) 267-9694 | |
| Not Available |
| Full Name | Matthew Ryan Hicks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 1650 Cochrane Cir, Fort Carson, Colorado |
| 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 |
|---|---|---|---|
| 1508101627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Colo Health Memorial Hospital Central | Colorado springs, CO | Hospital |
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Mt San Rafael Hospital | Trinidad, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 2425 |
| Entity Name | Poudre Valley Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Ryan Hicks, PA-C 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (205) 267-9694 | Matthew Ryan Hicks, PA-C 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (205) 267-9694 |
Jeremy Kenneth Betters, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-9934 |
Joseph Frjelich, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9622 Airfield Road, Fort Carson, CO 80913 Phone: 719-526-1910 |
Jeffrey Shiaw-guang Hsieh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000 |
Brittney Robin Conrad, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Evans Army Community Hospital, 1650 Cochrane Cir B7500, Fort Carson, CO 80913 Phone: 707-638-5809 |
Anthony Michael Lucca, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-3086 |
Daniel Matthes, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 805-712-2873 |
Daniel Douglas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Evans Army Community Hospital, 650 Cochrane Circle, Fort Carson, CO 80913 Phone: 719-526-2361 |