Theodore C Hicks, PA-C - Medicare Physician Assistant in Kokomo, IN

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Theodore C Hicks, PA-C is a medicare enrolled "Physician Assistant" in Kokomo, Indiana. His current practice location is 1010 S Reed Rd, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 457-4370.

Theodore C Hicks is licensed to practice in Indiana (license number 10001034A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780835033.

Contact Information

Theodore C Hicks, PA-C
1010 S Reed Rd,
Kokomo, IN 46901-6248
(765) 457-4370
Not Available

Map and Direction




Provider's Profile

Full NameTheodore C Hicks
GenderMale
SpecialityPhysician Assistant
Location1010 S Reed Rd, Kokomo, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780835033
  • Provider Enumeration Date: 10/06/2008
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719033364
  • Enrollment ID: I20210126002696

Medical Identifiers

Medical identifiers for Theodore C Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780835033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10001034A (Indiana)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. Theodore C Hicks allows following entities to bill medicare on his behalf.
Entity NameSonoma Valley Emergency Physicians Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710164629
PECOS PAC ID: 1355420191
Enrollment ID: O20080506000390
Entity NameVallejo Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083916373
PECOS PAC ID: 2961683693
Enrollment ID: O20110228000897
Entity NameCarbon Health Primary Care of California PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972057990
PECOS PAC ID: 8628350626
Enrollment ID: O20170127001216

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. Theodore C 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
Theodore C Hicks, PA-C
746 N 1100 W,
Kempton, IN 46049-9787

Ph: (317) 441-5347		Theodore C Hicks, PA-C
1010 S Reed Rd,
Kokomo, IN 46901-6248

Ph: (765) 457-4370

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.