Edgar O Hicks (NPI# 1538190483, PAC ID# 0143216663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1538190483 |
| PAC ID by PECOS | 0143216663 |
| Professional Enrollment ID | I20040422000580 |
| Full Name | Edgar O Hicks |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC |
| Address |
104 E Dallas St Dallas WI 54733-9699 |
| Phone Number | 7158371222 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4385553627 |
| Number of Group Practice Members | 495 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520070 | MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL |
| 521315 | MAYO CLINIC HEALTH SYSTEM-NORTHLAND |
| Address | Phone | Organization |
|---|---|---|
| 104 E Dallas St, Dallas, WI 54733-9699 | 7158371222 | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC |
| Physicians | 472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Jo Day | Nurse Practitioner | Mayo Clinic Health System-northwest Wisconsin Region Inc | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 |
| Hope C St Jean | Nurse Practitioner | Mayo Clinic Health System-northwest Wisconsin Region Inc | 1400 Bellinger St, Eau Claire, WI 54703-5222 |
| Gagandeep Singh | Family Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 13025 8th St, Osseo, WI 54758-7634 |
| Shannon M Brown | Family Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 331 S Main St, Suite H, Rice Lake, WI 54868-2253 |
| Michael R Phillips | Family Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 2321 Stout Rd, Menomonie, WI 54751-7003 |
| Joseph F Drazkowski | Neurology | Mayo Clinic Health System-northwest Wisconsin Region Inc | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Richard Nagler | Internal Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 1222 E Woodland Ave, Barron, WI 54812-1765 |
| Kristen R Bruxvoort | Family Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 1501 Thompson St, Bloomer, WI 54724-1257 |
| Sandeep K Basu | Hematology/oncology | Mayo Clinic Health System-northwest Wisconsin Region Inc | 1400 Bellinger St, Eau Claire, WI 54703-5222 |
| Jennifer Motto | Physician Assistant | Mayo Clinic Health System-northwest Wisconsin Region Inc | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 |
| Street Address |
104 E DALLAS ST |
| City | DALLAS |
| State | WI |
| Zip | 54733-9699 |
| City | DALLAS |
| Zip Code | 54733 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DALLAS + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Edgar O Hicks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.