Angie D Hicks-master is a Manila, Arkansas based nurse practitioner with 20 years of experience in Psych/Mental Health. She completed her graduation in 2005. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Angie D Hicks-master is APN0000017515 for Psych/Mental Health in Tennessee. Her current practice location is 920 East Medical Drive, Manila. Patients can reach her at 810-570-0358 or can fax her at 870-570-0359. Angie D Hicks-master is ANP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1255405353. Angie D Hicks-master provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Angie D Hicks-master speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496858110
Enrollment ID:
I20070316000197
NPI Number:
1255405353
NPI Enumeration Date:
20 Nov, 2006
NPI Last Update On:
28 May, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angie D Hicks-master are as mentioned below.
License Number
Specialization
State
Status
APN0000017515
Psych/Mental Health
Tennessee
Primary
A002923
Psych/Mental Health
Arkansas
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Angie D Hicks-master is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Delta Behavioral Health, Llc (6406280007)
5
Foundation A Wellness Practice, Llc (2668718172)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Angie D Hicks-master such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2007012778
Other
Missouri
MO STATE LICENSE
A002923
Other
Arkansas
AR STATE LICENSE
17515
Other
Tennessee
TN STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Angie D Hicks-master P.o. Box 717, Manila, Arkansas
Zip:
72442
Phone Number:
870-570-0358
Fax Number:
870-570-0359
Patients can reach Angie D Hicks-master at 920 East Medical Drive, Manila, Arkansas or can call to book an appointment on 810-570-0358.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.