Pamela Dawn Hickman, APRN in Jacksonville, FL

Pamela Dawn Hickman, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 14540 Old Saint Augustine Rd Ste 2317, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 202-2342.

Pamela Dawn Hickman is licensed to practice in Florida (license number APRN11033042) 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 1578312674.

Contact Information

	Pamela Dawn Hickman, APRN
	14540 Old Saint Augustine Rd Ste 2317, Jacksonville, FL 32258-7418
	(904) 202-2342
	(904) 376-3328

Map and Direction

Provider's Profile

Full Name	Pamela Dawn Hickman
Gender	Female
Speciality	Nurse Practitioner
Location	14540 Old Saint Augustine Rd Ste 2317, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578312674
Provider Enumeration Date: 05/13/2024
Last Update Date: 06/02/2025

Medicare PECOS Information:

PECOS PAC ID: 5698218303
Enrollment ID: I20240624000311

Medical Identifiers

Medical identifiers for Pamela Dawn Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578312674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9488318 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN11033042 (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. Pamela Dawn Hickman allows following entities to bill medicare on her behalf.

Entity Name	Baptist Cardiology, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760751598 PECOS PAC ID: 2466614581 Enrollment ID: O20120507000153

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. Pamela Dawn Hickman 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
Pamela Dawn Hickman, APRN Po Box 746652, Atlanta, GA 30374-6652 Ph: (904) 720-0599	Pamela Dawn Hickman, APRN 14540 Old Saint Augustine Rd Ste 2317, Jacksonville, FL 32258-7418 Ph: (904) 202-2342

Reviews and Comments

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Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300

Pamela Dawn Hickman, APRN - Medicare Nurse Practitioner in Jacksonville, FL