MEDICARE: RACHEL HIKES PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	OA005547	PA
2	363AM0700X	Medical Physician Assistant	MA056914	PA
3	363A00000X	Physician Assistant	MA056914	PA

General Provider Information

NPI Number	:	1821402454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HIKES PA-C

Provider Business Mailing Address
First Line	:	8012 BRETZ DR
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-9748
Country	:	US
Telephone Number	:	717-988-9340
Fax Number	:

Provider Business Practice Location Address
First Line	:	8012 BRETZ DR
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-9748
Country	:	US
Telephone Number	:	717-988-9340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2014
Last Update Date	:	01/03/2024

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