Julie W Hicks, DO
Individual provider Active NPI Hospitalist Physician · Latrobe, PA
NPI 1992822654 · NPPES record last updated Oct 26, 2018
Key facts
- NPI
- 1992822654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- OS015789 (PA)
- Practice address
- 1 Mellon Way
Latrobe, PA 15650-1197 - Phone
- (724) 537-1801
- Fax
- (724) 532-6830
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Physician Group Inc
Cleveland Clinic
Practice addresses (Care Compare)
801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 954-2200
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- South Pointe Hospital
- Cleveland Clinic
- Marymount Hospital
- St Lukes Hospital
- Hillcrest Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120405000648 | PA | Practitioner - Family Practice | 4183805856 | Reassigns benefits to 4 organizations |
| I20251118001375 | OH | Practitioner - Family Practice | 4183805856 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2055 | ME | MD | Family Medicine Physician |
| OS015789 | PA | MD | Hospitalist Physician |
| T0762 | ME | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Family Medicine | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Family Medicine | Current |
Accepting new patients |
| Gslpg, Inc | Current |
Accepting new patients | |
| Excela Health Physician Practices, Inc. | Family Medicine | Current |
Accepting new patients |
| Excela Health Physician Practices, Inc. | Current |
Accepting new patients | |
| St Luke'S Physician Group Inc | Family Medicine | Current |
Accepting new patients |
| St. Luke'S Physician Group, Inc. | Family Medicine | Current | Accepting new patients |
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current |
Accepting new patients | |
| The Cleveland Clinic Foundation | Current |
Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
134 Industrial Park Rd
Ste 1500
Greensburg, PA 15601
44 S Washington Ave
Fl 2
Greensburg, PA 15601
Phone (724) 261-5556
1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207
100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- jhicks137686@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS015789 | PA | |
| Family Medicine Physician | 207Q00000X | 2055 | ME | |
| Student in an Organized Health Care Education/Training Program | 390200000X | T0762 | ME | |
| Hospitalist Physician | 208M00000X | OS015789 | PA | Yes |
Addresses
Primary practice location
1 Mellon Way
Latrobe, PA 15650-1197
Mailing address
134 Industrial Park Rd Ste 1500
Greensburg, PA 15601-8153
Phone (724) 689-1822
Other providers in Latrobe, PA
- Emily Rose Hegemann
- Caren Held
- Emily D Henschel
- Bruce Alan Hershock
- Fred W Hickle
- Lindsay Catherine Hill
- Tyler Hochman
- Leah Hoffner
- Melissa Hollobaugh
- Mariann Holnaider
All providers in Latrobe, PA · Hospitalist Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2018. 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.