Mrs Lacy Hicks, CPNP - Pediatrics in Johnson City, TN

Mrs Lacy Hicks, CPNP is a Pediatrics - Pediatric Cardiology physician based in Johnson City, Tennessee. Mrs Lacy Hicks is licensed to practice in Tennessee (license number 1841362555) and her current practice location is 2312 Knob Creek Rd Ste 208, Johnson City, Tennessee. She can be reached at her office (for appointments etc.) via phone at (423) 610-1099.

NPI number for Mrs Lacy Hicks is 1396465621 and her current mailing address is 2312 Knob Creek Rd Ste 208, Johnson City, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396465621.

Contact Information

Mrs Lacy Hicks, CPNP
2312 Knob Creek Rd Ste 208,
Johnson City, TN 37604-2367
(423) 610-1099
(423) 246-4300



Physician's Profile

Full NameMrs Lacy Hicks
GenderFemale
SpecialityPediatrics - Pediatric Cardiology
Location2312 Knob Creek Rd Ste 208, Johnson City, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396465621
  • Provider Enumeration Date: 08/29/2022
  • Last Update Date: 09/04/2023

Medical Identifiers

Medical identifiers for Mrs Lacy Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396465621NPI-NPPES
1376533489OtherNPI
1578856985OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 1841362555 (Tennessee)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. Mrs Lacy Hicks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lacy Hicks, CPNP
2312 Knob Creek Rd Ste 208,
Johnson City, TN 37604-2367

Ph: (423) 610-1099
Mrs Lacy Hicks, CPNP
2312 Knob Creek Rd Ste 208,
Johnson City, TN 37604-2367

Ph: (423) 610-1099

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› Verified 8 days ago


Pediatrics Doctors in Johnson City, TN

John William Schweitzer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    
Mrs. Priya Narayanan Jain, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Jodi B Gage, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Dr. Demetrio Rebano Macariola Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Karen E Schetzina, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
William Scott Dodd, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Ahmad A Wattad, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343

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