Dr James Willis Hickerson Jr, MD - Medicare Emergency Medicine in Clarksville, TN

Dr James Willis Hickerson Jr, MD is a medicare enrolled "Emergency Medicine" physician in Clarksville, Tennessee. He went to University Of Kentucky College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Independence Emergency Physicians Llc, Carrollton Emergency Physicians Pc and his current practice location is 651 Dunlop Ln, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 502-1370.

Dr James Willis Hickerson Jr is licensed to practice in Tennessee (license number 54424) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316207418.

Contact Information

Dr James Willis Hickerson Jr, MD
651 Dunlop Ln,
Clarksville, TN 37040-5015
(931) 502-1370
Not Available



Physician's Profile

Full NameDr James Willis Hickerson Jr
GenderMale
SpecialityEmergency Medicine
Experience9 Years
Location651 Dunlop Ln, Clarksville, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Willis Hickerson Jr attended and graduated from University Of Kentucky College Of Medicine in 2015
  NPI Data:
  • NPI Number: 1316207418
  • Provider Enumeration Date: 05/22/2012
  • Last Update Date: 08/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6507189008
  • Enrollment ID: I20220311001029

Medical Identifiers

Medical identifiers for Dr James Willis Hickerson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316207418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 48514 (Kentucky)Secondary
207P00000XEmergency Medicine 54424 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tanner Medical Center - CarrolltonCarrollton, GAHospital
Tanner Medical Center Villa RicaVilla rica, GAHospital
Higgins General HospitalBremen, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Independence Emergency Physicians Llc226448497111
Carrollton Emergency Physicians Pc741686001010

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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. Dr James Willis Hickerson Jr allows following entities to bill medicare on his behalf.
Entity NameCarrollton Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790724672
PECOS PAC ID: 7416860010
Enrollment ID: O20040122001028

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Entity NameIndependence Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164458832
PECOS PAC ID: 2264484971
Enrollment ID: O20050210000513

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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. Dr James Willis Hickerson Jr 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 AddressPractice Location Address
Dr James Willis Hickerson Jr, MD
651 Dunlop Ln,
Clarksville, TN 37040-5015

Ph: (931) 502-1370
Dr James Willis Hickerson Jr, MD
651 Dunlop Ln,
Clarksville, TN 37040-5015

Ph: (931) 502-1370

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Emergency Medicine Doctors in Clarksville, TN

John D Shields, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1771 Madison St, Clarksville, TN 37043
Phone: 931-552-6622    
Dr. Malcolm A Steele, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 651 Dunlop Ln, Clarksville, TN 37040
Phone: 931-502-1370    
Manickam Krishnamurthy, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 651 Dunlop Ln, Clarksville, TN 37040
Phone: 931-502-1370    
Mark A Muiznieks, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 651 Dunlop Lane Clarksville, Clarksville, TN 37040
Phone: 931-502-1370    
Dr. Russell Paul Landry Iii, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 651 Dunlop Lane, Clarksville, TN 37040
Phone: 713-430-6095    
Dr. Timothy L Obernuefemann, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2320 Wilma Rudolph Blvd, Clarksville, TN 37040
Phone: 931-645-1564    Fax: 931-645-3842

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