Ms Stephanie L Hicks, PA-C - Medicare Physician Assistant in Saint Augustine, FL

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Ms Stephanie L Hicks, PA-C is a medicare enrolled "Physician Assistant" in Saint Augustine, Florida. Her current practice location is 132 Goldenrod Dr, Saint Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (815) 342-4901.

Ms Stephanie L Hicks is licensed to practice in Florida (license number PA9118138) 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 1366808735.

Contact Information

Ms Stephanie L Hicks, PA-C
132 Goldenrod Dr,
Saint Augustine, FL 32092-7665
(815) 342-4901
Not Available

Map and Direction




Provider's Profile

Full NameMs Stephanie L Hicks
GenderFemale
SpecialityPhysician Assistant
Location132 Goldenrod Dr, Saint Augustine, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366808735
  • Provider Enumeration Date: 01/14/2016
  • Last Update Date: 02/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991001521
  • Enrollment ID: I20160308002698

Medical Identifiers

Medical identifiers for Ms Stephanie L Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366808735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.005757 (Illinois)Secondary
363A00000XPhysician Assistant PA9118138 (Florida)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. Ms Stephanie L Hicks allows following entities to bill medicare on her behalf.
Entity NameDr. Susan Rife Family Medicine SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184602880
PECOS PAC ID: 9931099363
Enrollment ID: O20040318000635
Entity NameAdvanced Midwest Radiology S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013965326
PECOS PAC ID: 0941273320
Enrollment ID: O20040813001116
Entity NameHealth Service Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851323257
PECOS PAC ID: 2264408699
Enrollment ID: O20040908000350
Entity NameAurora Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407379423
PECOS PAC ID: 1850657180
Enrollment ID: O20171102000998

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. Ms Stephanie L 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 AddressPractice Location Address
Ms Stephanie L Hicks, PA-C
132 Goldenrod Dr,
Saint Augustine, FL 32092-7665

Ph: (153) 424-9018		Ms Stephanie L Hicks, PA-C
132 Goldenrod Dr,
Saint Augustine, FL 32092-7665

Ph: (815) 342-4901

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.