Diane Lockhart, MD | |
1 Eaton Pl, Suite 22, Worcester, MA 01608-1232 | |
(508) 363-6881 | |
(508) 363-7592 |
Full Name | Diane Lockhart |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 1 Eaton Pl, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407917412 | NPI | - | NPPES |
792099 | Other | MA | TUFTS |
S2 | Other | MA | HPHC |
1226445-004 | Other | MA | CIGNA |
1226445-004 | Other | MA | HEALTHSOURCE NUMBER |
3191800 | Medicaid | MA | |
0021544 | Other | MA | NHP |
J17041 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 151434 (Massachusetts) | Primary |
Entity Name | Reliant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
Entity Name | Saint Vincent Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013997329 PECOS PAC ID: 8921056276 Enrollment ID: O20050104000566 |
Mailing Address | Practice Location Address |
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Diane Lockhart, MD 1 Eaton Pl, Suite 22, Worcester, MA 01608-1232 Ph: (508) 363-6881 | Diane Lockhart, MD 1 Eaton Pl, Suite 22, Worcester, MA 01608-1232 Ph: (508) 363-6881 |
Elizabeth A Mahanor, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-368-3190 Fax: 508-368-3193 | |
Dr. Craig A Paterson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Department Of General Surgery, Worcester, MA 01605 Phone: 508-334-8195 | |
Dr. John M Castle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Department Of Surgery, Worcester, MA 01605 Phone: 508-334-5958 Fax: 508-334-5752 | |
Frank Traupman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 | |
Philip A Cohen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655 Phone: 508-856-7559 Fax: 508-856-4224 | |
Mary Elise Huerter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3278 Fax: 508-334-7284 | |
Jennifer Fantasia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 083-348-7655 Fax: 508-334-9477 |