Miss Cicely P Locks, RN in Silverdale, WA - Medicare Nurse Practitioner

Miss Cicely P Locks, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Silverdale, Washington. Her current practice location is 1191 Nw Tahoe Ln, Silverdale, Washington. You can reach out to her office (for appointments etc.) via phone at (443) 692-7996.

Miss Cicely P Locks is licensed to practice in Washington (license number AP61351070) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215528229.

Contact Information

	Miss Cicely P Locks, RN
	1191 Nw Tahoe Ln, Silverdale, WA 98383-7954
	(443) 692-7996
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Cicely P Locks
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1191 Nw Tahoe Ln, Silverdale, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215528229
Provider Enumeration Date: 02/02/2021
Last Update Date: 10/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7517359599
Enrollment ID: I20220125001887

Medical Identifiers

Medical identifiers for Miss Cicely P Locks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215528229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	R172541 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R172541 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61351070 (Washington)	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. Miss Cicely P Locks allows following entities to bill medicare on her behalf.

Entity Name	Matclinic Physicians Practice Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

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. Miss Cicely P Locks 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
Miss Cicely P Locks, RN 5100 Buckeystown Pike Ste 250, Frederick, MD 21704-8344 Ph: (443) 851-0635	Miss Cicely P Locks, RN 1191 Nw Tahoe Ln, Silverdale, WA 98383-7954 Ph: (443) 692-7996

Reviews and Comments

Nurse Practitioner Nurses in Silverdale, WA

Samuel Godin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1950 Nw Myhre Rd Fl 3, Silverdale, WA 98383 Phone: 564-240-4200 Fax: 564-240-4299
Elizabeth Claire Zaroff, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383 Phone: 360-377-3776
Donna J Delegeane, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10452 Silverdale Way Nw, Silverdale, WA 98383 Phone: 360-307-7300
Mindy Kay Prouty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 Nw Myhre Rd Fl 3, Silverdale, WA 98383 Phone: 564-240-4200 Fax: 564-240-4299
Marie F Bailey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3212 Nw Byron St Ste 101, Silverdale, WA 98383 Phone: 360-698-7290 Fax: 360-698-7535
Anna Gonzalez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383 Phone: 360-377-3776
Lauren Berglind, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3261 Nw Mount Vintage Way Ste 221, Silverdale, WA 98383 Phone: 360-792-9118 Fax: 360-918-9726

Miss Cicely P Locks, RN - Medicare Nurse Practitioner in Silverdale, WA