Craig A Hackworth, MD | |
3200 Westhill Dr, Suite 210, Wausau, WI 54401-4705 | |
(715) 847-2020 | |
(715) 847-0020 |
Full Name | Craig A Hackworth |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3200 Westhill Dr, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255340162 | NPI | - | NPPES |
32665300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 39230 (Wisconsin) | Primary |
Entity Name | Radiology Associates Of Wausau, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588679450 PECOS PAC ID: 7618869587 Enrollment ID: O20040325001593 |
Mailing Address | Practice Location Address |
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Craig A Hackworth, MD 3200 Westhill Dr, Suite 210, Wausau, WI 54401-4705 Ph: (715) 847-2020 | Craig A Hackworth, MD 3200 Westhill Dr, Suite 210, Wausau, WI 54401-4705 Ph: (715) 847-2020 |
Dr. Derrick Robson Siebert, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2283 | |
Dr. Philip Richard Albert, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2705 Rib Mountain Way, Wausau, WI 54401 Phone: 715-302-0130 Fax: 715-842-4058 | |
Sarah S Nielsen, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
James S Collison, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Westhill Dr, Suite 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020 | |
Vinay D Luthra, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3200 Westhill Dr Ste 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020 | |
Donald M Nowinski Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3200 Westhill Dr, Suite 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020 |