Charles M Wicks, MD | |
233 Lincoln Ave, Haverhill, MA 01830-6738 | |
(978) 374-1010 | |
(978) 556-0568 |
Full Name | Charles M Wicks |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 233 Lincoln Ave, Haverhill, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295827327 | NPI | - | NPPES |
0161772 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 49128 (Massachusetts) | Primary |
207R00000X | Internal Medicine | 49128 (Massachusetts) | Secondary |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
Mailing Address | Practice Location Address |
---|---|
Charles M Wicks, MD Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 Ph: (978) 374-1010 | Charles M Wicks, MD 233 Lincoln Ave, Haverhill, MA 01830-6738 Ph: (978) 374-1010 |
Margaret Mary Hunt, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 145 Ward Hill Ave, Haverhill, MA 01835 Phone: 978-372-8000 | |
Dr. William Rogers Obrien Dibrielle, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3250 Fax: 978-469-5646 | |
Francis P. Macmillan, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3235 Fax: 978-521-3236 | |
Sunny Srivastava, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3288 Fax: 978-469-5644 | |
Beverly A. Brennan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Primrose St, Haverhill, MA 01830 Phone: 978-469-7100 Fax: 978-469-7199 | |
Dr. Jason M Hemming, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Park Way, Haverhill, MA 01830 Phone: 978-521-3235 Fax: 978-521-3236 | |
Dr. David A Byrne, M.D Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 62 Brown Street, Suite 200, Haverhill, MA 01830 Phone: 978-521-8377 Fax: 978-521-3689 |