Zachary J Hickner (NPI# 1215234745, PAC ID# 0446437347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1215234745 |
| PAC ID by PECOS | 0446437347 |
| Professional Enrollment ID | I20110601000640 |
| Full Name | Zachary J Hickner |
| Address |
1906 W Milham Ave Portage MI 49024-1232 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1906 W Milham Ave, Portage, MI 49024-1232 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% |
| Street Address |
1906 W MILHAM AVE |
| City | PORTAGE |
| State | MI |
| Zip | 49024-1232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Christine A Berry | Audiologist | Three Rivers Health System Inc | 3850 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Matthew Lars Kuiper | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Find all physicians in zip 49024 | |||
| City | PORTAGE |
| Zip Code | 49024 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PORTAGE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Zachary J Hickner.
| 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.