Ms Azalyn Hickman, OTRL is a medicare enrolled "Occupational Therapist" provider in Fairfax, South Carolina. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is
1787 Allendale Fairfax Hwy, Fairfax, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 632-3311.
Ms Azalyn Hickman is licensed to practice in South Carolina (license number 5161) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619456217.
Healthcare Provider's Profile
| Full Name | Ms Azalyn Hickman |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist In Private Practice |
|---|
| Experience | 10 Years |
|---|
| Location | 1787 Allendale Fairfax Hwy, Fairfax, South Carolina |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ms Azalyn Hickman graduated from medical school in 2016
NPI Data:
- NPI Number: 1619456217
- Provider Enumeration Date: 08/14/2018
- Last Update Date: 08/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 1153818844
- Enrollment ID: I20251015005047
Medical Identifiers
Medical identifiers for Ms Azalyn Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619456217 | NPI | - | NPPES |
| 1033106596 | Other | SC | ALDEN LAKELAND |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 4741 (Alabama) | Secondary |
| 225X00000X | Occupational Therapist | 5161 (South Carolina) | Primary |
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 Azalyn 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 |
|---|
Ms Azalyn Hickman, OTRL
5830 Coral Ridge Dr Ste 300,
Coral Springs, FL 33076-3388
Ph: (954) 510-4045 | Ms Azalyn Hickman, OTRL
1787 Allendale Fairfax Hwy,
Fairfax, SC 29827-9133
Ph: (803) 632-3311 |
Reviews and Comments