| Travis Hicks, | |
|
1059 N 100 W, Beaver, UT 84713-1690 | |
| (435) 438-7280 | |
| Not Available |
| Full Name | Travis Hicks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 1059 N 100 W, Beaver, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952605370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1096261 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Nevada Regional Hospital | Elko, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aems | 4789939125 | 7 |
| Entity Name | Crum,stefanko and Jones Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285645515 PECOS PAC ID: 6901883438 Enrollment ID: O20040702000261 |
| Entity Name | Aems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093239626 PECOS PAC ID: 4789939125 Enrollment ID: O20180626001871 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Hicks, Po Box 1690, Beaver, UT 84713-1690 Ph: (435) 438-7280 | Travis Hicks, 1059 N 100 W, Beaver, UT 84713-1690 Ph: (435) 438-7280 |
David Myntti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1059 N 100 W, Beaver, UT 84713 Phone: 435-438-7280 Fax: 435-438-7210 |
Reagan Fails, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1059 N 100 W, Beaver, UT 84713 Phone: 435-438-7280 Fax: 435-438-7210 |
Kenneth Lynn Hussey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1059 N 100 W, Beaver, UT 84713 Phone: 435-438-7280 Fax: 435-438-7210 |