Jared Owen Hicken, DO in Grand Blanc, MI - Medicare Emergency Medicine

Jared Owen Hicken, DO is a medicare enrolled "Emergency Medicine" physician in Grand Blanc, Michigan. His current practice location is 1 Genesys Pkwy, Grand Blanc, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 606-5000.

Jared Owen Hicken is licensed to practice in Michigan (license number 5151015474) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790429603.

Contact Information

	Jared Owen Hicken, DO
	1 Genesys Pkwy, Grand Blanc, MI 48439-8065
	(810) 606-5000
	Not Available

Physician's Profile

Full Name	Jared Owen Hicken
Gender	Male
Speciality	Emergency Medicine
Location	1 Genesys Pkwy, Grand Blanc, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790429603
Provider Enumeration Date: 04/26/2022
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0840672754
Enrollment ID: I20220809000400

Medical Identifiers

Medical identifiers for Jared Owen Hicken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790429603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5151015474 (Michigan)	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. Jared Owen Hicken 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
Jared Owen Hicken, DO 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: () -	Jared Owen Hicken, DO 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (810) 606-5000

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Emergency Medicine Doctors in Grand Blanc, MI

Dr. Tara Knisely, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000
Alison Marie Ralston, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6372
Brian T West, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6137
Dr. Brendan Haigis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6372
Roland R Tindle, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Holly Rd, Grand Blanc, MI 48439 Phone: 810-695-8011 Fax: 810-695-8002
Dr. Ryan Patrick Kirby, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000
Dr. John Nicholas Vitali, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Parkway, Grand Blanc, MI 48439 Phone: 810-606-5000

Jared Owen Hicken, DO - Medicare Emergency Medicine in Grand Blanc, MI