MEDICARE: RACHEL BICKER

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	363AM0700X	Medical Physician Assistant	1188440

General Provider Information

NPI Number	:	1649989468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BICKER

Provider Business Mailing Address
First Line	:	PO BOX 1892
Second Line	:
City	:	SHEPHERDSTOWN
State	:	WV
Zip	:	25443-1892
Country	:	US
Telephone Number	:	803-446-2287
Fax Number	:

Provider Business Practice Location Address
First Line	:	11020 DESSAU RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-2053
Country	:	US
Telephone Number	:	737-226-6700
Fax Number	:

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

Provider Enumeration Date	:	11/21/2022
Last Update Date	:	11/21/2022

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Directions to “ RACHEL BICKER ” Practice Location

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