Charles D Hackett, MD | |
593 Eddy Street, Grads Dorm, Providence, RI 02903-4923 | |
(401) 444-4038 | |
(401) 444-7074 |
Full Name | Charles D Hackett |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 593 Eddy Street, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558539957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | MD15294 (Rhode Island) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20050502000716 |
Entity Name | Rhode Island Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154537520 PECOS PAC ID: 8921900044 Enrollment ID: O20141017000105 |
Mailing Address | Practice Location Address |
---|---|
Charles D Hackett, MD 593 Eddy Street, Grads Dorm, Providence, RI 02903-4923 Ph: (401) 444-4038 | Charles D Hackett, MD 593 Eddy Street, Grads Dorm, Providence, RI 02903-4923 Ph: (401) 444-4038 |
Byron T Alex, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427 | |
Nancy Littell, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Grads Dorm, Providence, RI 02903 Phone: 401-444-4038 Fax: 401-444-7074 | |
Dr. Philip David Parks Ii, MD, MPH, MOCCH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Grad's Dorm 109, Providence, RI 02903 Phone: 401-444-4172 Fax: 401-444-6310 | |
Mark Robert Brody, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 295 Angell St, Providence, RI 02906 Phone: 401-861-4643 | |
Shawn Anthony Howland, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 758 Eddy St Ste 300, Providence, RI 02903 Phone: 401-236-7258 Fax: 774-465-0469 |