Fred W Hickle, P.A.
Individual provider Active NPI Physician Assistant · Latrobe, PA
NPI 1922299643 · NPPES record last updated Aug 7, 2007
Key facts
- NPI
- 1922299643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1005 Ligonier St
Latrobe, PA 15650-1832 - Phone
- (724) 532-1020
- Fax
- (724) 532-1025
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.39 of 100
- Quality
- 79.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070927000727 | PA | Practitioner - Physician Assistant | 9133214786 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Bedford Memorial | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| Upmc Bedford Memorial | Current |
Accepting new patients |
Locations
10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550
1005 Ligonier St
Latrobe, PA 15650
Phone (412) 532-1020
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
Interoperability endpoints
- fhickle@direct.excelahealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1005 Ligonier St
Latrobe, PA 15650-1832
Mailing address
1005 Ligonier St
Latrobe, PA 15650-1832
Phone (724) 532-1020
Other providers in Latrobe, PA
- Hearing Professionals of America LLC
- Emily Rose Hegemann
- Caren Held
- Emily D Henschel
- Bruce Alan Hershock
- Julie W Hicks
- Lindsay Catherine Hill
- Tyler Hochman
- Leah Hoffner
- Melissa Hollobaugh
All providers in Latrobe, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.