| Mrs Emily Wantland Hicks, FNP-C | |
|
3001 Bee Caves Rd Ste 210, Rollingwood, TX 78746-5590 | |
| (512) 434-0037 | |
| (512) 434-0037 |
| Full Name | Mrs Emily Wantland Hicks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 3001 Bee Caves Rd Ste 210, Rollingwood, Texas |
| 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 |
|---|---|---|---|
| 1821495813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP125863 (Texas) | Primary |
| 163W00000X | Registered Nurse | 755583 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harbor Health Medical Group | 8921482597 | 48 |
| Entity Name | Harbor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396486619 PECOS PAC ID: 8921482597 Enrollment ID: O20220831000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Emily Wantland Hicks, FNP-C 3001 Bee Caves Rd Ste 210, Rollingwood, TX 78746-5590 Ph: (214) 502-9346 | Mrs Emily Wantland Hicks, FNP-C 3001 Bee Caves Rd Ste 210, Rollingwood, TX 78746-5590 Ph: (512) 434-0037 |
Jonathan William Prokop, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 Bee Caves Rd Ste 203, Rollingwood, TX 78746 Phone: 512-328-7222 | |
Lejla Medic, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2720 Bee Caves Rd Ste 211, Rollingwood, TX 78746 Phone: 512-270-1105 Fax: 512-631-0050 | |
Jellirica Peters, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Bee Caves Rd Ste 220, Rollingwood, TX 78746 Phone: 512-777-2591 |