Sue Hicks Llc - Medicare Mental Health Clinic in Boise, ID

Sue Hicks Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Boise, Idaho. The current practice location for Sue Hicks Llc is 4477 W Emerald St Ste C275, Boise, Idaho. For appointments, you can reach them via phone at (208) 740-0391. The mailing address for Sue Hicks Llc is 5524 S Caper Pl, Boise, Idaho and phone number is (208) 740-0391.

Sue Hicks Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124619978. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 740-0391.

Contact Information

Sue Hicks Llc
4477 W Emerald St Ste C275
Boise
ID 83706-2078
(208) 740-0391
Not Available

Mental Health Clinic Profile

Full NameSue Hicks Llc
SpecialityClinic/Center
Location4477 W Emerald St Ste C275, Boise, Idaho
Authorized Official Name and PositionSue M Hicks (OWNER)
Authorized Official Contact2087400391
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sue Hicks Llc
5524 S Caper Pl
Boise
ID 83716-6929

Ph: (208) 740-0391
Sue Hicks Llc
4477 W Emerald St Ste C275
Boise
ID 83706-2078

Ph: (208) 740-0391

NPI Details:

NPI Number1124619978
Provider Enumeration Date02/02/2021
Last Update Date02/02/2021
Certification Date02/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2163821679
Medicare Enrollment IDO20210602002326

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Medical Identifiers

Medical identifiers for Sue Hicks Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124619978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sue Hicks Llc acts as a billing entity for following providers:
Provider NameSue Marie Hicks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023028990
PECOS PAC ID: 6507296761
Enrollment ID: I20200501000239

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Clinic/Center in Boise, ID

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Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7227 W Potomac Dr, Boise, ID 83704
Phone: 208-314-1770    
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Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 131 Allumbaugh St, Boise, ID 83704
Phone: 208-367-3069    Fax: 208-367-3002
Living Well, Inc,
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Medicare: Not Enrolled in Medicare
Practice Location: 6003 W Overland Rd, Suite 101, Boise, ID 83709
Phone: 208-322-2412    Fax: 208-345-2077
Continual Wellness Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1915 N 33rd St, Boise, ID 83703
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Arrowleaf Counseling Pllc
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Medicare: Medicare Enrolled
Practice Location: 413 N Allumbaugh St Ste 101, Boise, ID 83704
Phone: 208-954-5594    Fax: 208-954-5598
Sara Hill, Lcsw, Llc
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Practice Location: 1414 W Franklin St, Boise, ID 83702
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Lea Bowman Lcsw
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Practice Location: 2714 N Tamarack Dr, Boise, ID 83703
Phone: 208-576-7411    

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