Dr Annelies Hickerson, MD in Fort Campbell, KY - Medicare Surgery

Dr Annelies Hickerson, MD is a medicare enrolled "Surgery" physician in Fort Campbell, Kentucky. Her current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 412-6594.

Dr Annelies Hickerson is licensed to practice in Virginia (license number 0101262158) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629469473.

Contact Information

	Dr Annelies Hickerson, MD
	650 Joel Dr, Fort Campbell, KY 42223-5318
	(270) 412-6594
	Not Available

Physician's Profile

Full Name	Dr Annelies Hickerson
Gender	Female
Speciality	Surgery
Location	650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629469473
Provider Enumeration Date: 02/16/2015
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 4981057874
Enrollment ID: I20240126002421

Medical Identifiers

Medical identifiers for Dr Annelies Hickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629469473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	0101262158 (Virginia)	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. Dr Annelies Hickerson 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
Dr Annelies Hickerson, MD 3551 Roger Brooke Drive, Mche/me, Jbsa Fort Sam Houston, TX 78234 Ph: (210) 916-6554	Dr Annelies Hickerson, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 412-6594

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Surgery Doctors in Fort Campbell, KY

Dr. William W Chang, MD Surgery Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8407
Chonna Lynn Kendrick, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Phone: 270-798-8727
Torbjorg Holtestaul, Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400
Robert J Marx, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8407 Fax: 270-798-8721
Dr. Matthew Morrison Mayfield, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8372
Dr. James N Elder, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Phone: 270-798-8407

Dr Annelies Hickerson, MD - Medicare Surgery in Fort Campbell, KY