Forms & Payment
Accepts new patients
| Medicare | Medicaid | Workers' compensation | Other |
|---|---|---|---|
Medical insurance plans and payment options
We file to commercial Blue Cross Blue Shield of NC, Cigna, Tricare, United Healthcare, Medcost, and a number of other insurance plans. Your contract with your insurance company is unique and its terms are not necessarily disclosed to us accurately or in its entirety. Please contact your insurance carrier to verify your coverage and out of pocket amounts prior to your appointment to ensure your accurate understanding.
In order to provide you with the most effective and efficient care, payment for service is due at the time service is rendered. We accept most major insurances, cash, check, debit, Visa, MasterCard, and American Express.
Office information from Derrick G. Hickey, MD
Notice of Privacy Practices-for your information only. You do not need to print or sign this document prior to your first visit.
Driving Directions to Office
Driving directions to our office at 5302 Oleander Drive, Suites B and C, Wilmington, NC 28403.
New Patient Forms Only
New Patient Forms only, without driving directions and welcome letter.
New Patient Forms with Driving Directions and Welcome
All the forms you will need to complete if you are a new patient. Includes welcome letter with list of items to bring to your appointment, all new patient office forms, and driving directions with a map of the Cape Fear Hospital Campus, where we are located.
Referral Request Form - FOR PHYSICIAN USE ONLY
(910)791-4492
Latest News:
Please come visit us at our new location.
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