Kevin R Hickman is a medicare enrolled "Optometrist" provider in Bremen, Indiana. Their current practice location is
122 W Plymouth St, Bremen, Indiana. You can reach out to their office (for appointments etc.) via phone at
(574) 546-4400.
Kevin R Hickman is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kevin R Hickman
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1407903966.
Healthcare Provider's Profile
Full Name | Kevin R Hickman |
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Type | Facility |
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Speciality | Optometrist |
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Location | 122 W Plymouth St, Bremen, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407903966
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 02/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 4587625298
- Enrollment ID: O20100930047066
Medical Identifiers
Medical identifiers for Kevin R Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407903966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | 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. Kevin R 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 |
Kevin R Hickman 122 W Plymouth St, Bremen, IN 46506-1543 Ph: (574) 546-4400 | Kevin R Hickman 122 W Plymouth St, Bremen, IN 46506-1543 Ph: (574) 546-4400 |
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