| Mr Michael Allen Hicks, ARNP-C | |
|
205 Zeagler Dr, Palatka, FL 32177-3888 | |
| (386) 328-6746 | |
| (386) 328-7554 |
| Full Name | Mr Michael Allen Hicks |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 205 Zeagler Dr, Palatka, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225262108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP1652122 (Florida) | Primary |
| Entity Name | Medex Medical Express Of Palatka Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447464508 PECOS PAC ID: 3375621527 Enrollment ID: O20080429000236 |
| Entity Name | Community Rural Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427238468 PECOS PAC ID: 4789741786 Enrollment ID: O20090318000501 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Allen Hicks, ARNP-C 205 Zeagler Dr, Palatka, FL 32177-3888 Ph: (386) 328-6746 | Mr Michael Allen Hicks, ARNP-C 205 Zeagler Dr, Palatka, FL 32177-3888 Ph: (386) 328-6746 |
Lindsey Fletcher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
Mrs. Kathleen Anne Russell, ARNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Saint Johns Ave, Palatka, FL 32177 Phone: 904-279-2200 | |
Kashanti Shanti Bowden, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6910 Old Wolf Bay Rd, Palatka, FL 32177 Phone: 386-328-7337 | |
Jennifer Paffmann, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Reid St, Palatka, FL 32177 Phone: 386-328-5437 | |
Julia Loftus Weber, ARNP RNCS MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177 Phone: 386-329-3780 Fax: 386-329-3786 | |
Mr. Ronald Michael Wendt, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3703 Crill Ave, Palatka, FL 32177 Phone: 386-866-9100 Fax: 386-866-1900 | |
Ms. Canisha Shanara Gillon, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Kay Larkin Dr, Palatka, FL 32177 Phone: 386-329-3780 |