Mary Elizabeth Hickner, is a medicare enrolled "Podiatrist" provider in Fitchburg, Wisconsin. She went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 2017 and has 9 years of diverse experience with area of expertise as Podiatry. Her current practice location is
2960 Triverton Pike Dr Ste 107, Fitchburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(307) 714-2316.
Mary Elizabeth Hickner is licensed to practice in Illinois (license number 135.000965) 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 1043730625.
Healthcare Provider's Profile
| Full Name | Mary Elizabeth Hickner |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 9 Years |
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| Location | 2960 Triverton Pike Dr Ste 107, Fitchburg, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Elizabeth Hickner attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 2017
NPI Data:
- NPI Number: 1043730625
- Provider Enumeration Date: 06/23/2017
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406249440
- Enrollment ID: I20220215001492
Medical Identifiers
Medical identifiers for Mary Elizabeth Hickner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043730625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 135.000965 (Illinois) | 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. Mary Elizabeth Hickner allows following entities to bill medicare on her behalf.
| Provider Name | Fitchburg Podiatry Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629892674
PECOS PAC ID: 7719415504
Enrollment ID: O20250107002497 |
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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. Mary Elizabeth Hickner 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 |
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Mary Elizabeth Hickner,
2960 Triverton Pike Dr Ste 107,
Fitchburg, WI 53711-7516
Ph: (307) 714-2316 | Mary Elizabeth Hickner,
2960 Triverton Pike Dr Ste 107,
Fitchburg, WI 53711-7516
Ph: (307) 714-2316 |
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