Rachel Marie Hicks, DO
Student in an Organized Health Care Education/Training Program in Jackson, MI. Individual provider (NPI-1).
NPI number1194415596
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1194415596
- Entity type
- Individual (NPI-1)
- Name
- Rachel Marie Hicks
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2023
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Other names
- Rachel Marie Santos (Former Name)
Practice location
205 N East AveJackson, MI 49201-1753
Phone 517-205-4800
Mailing address
205 N East AveJackson, MI 49201-1753
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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