Dr Scott Andrew Hackett, MD | |
12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | |
(317) 844-5656 | |
(317) 575-3795 |
Full Name | Dr Scott Andrew Hackett |
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Gender | Male |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 12065 Old Meridian Street, Carmel, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396703203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 01036119A (Indiana) | Primary |
Entity Name | Northside Ent, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083656672 PECOS PAC ID: 6709790330 Enrollment ID: O20031118000026 |
Mailing Address | Practice Location Address |
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Dr Scott Andrew Hackett, MD Po Box 6069, Indianapolis, IN 46206-6069 Ph: (317) 844-5656 | Dr Scott Andrew Hackett, MD 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 Ph: (317) 844-5656 |
Edward J Krowiak, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12188a North Meridian St, Suite 375, Carmel, IN 46032 Phone: 317-926-1056 Fax: 317-579-0476 | |
Dr. Taha Z Shipchandler, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11725 Illinois St Ste 275, Carmel, IN 46032 Phone: 317-948-5071 Fax: 317-948-5144 | |
Alexander Joseph Caniglia, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 170 W 106th St, Carmel, IN 46290 Phone: 317-575-0330 | |
Dr. Seth David Bruggers, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12065 Old Meridian St, Suite 205, Carmel, IN 46032 Phone: 317-844-5656 Fax: 317-575-3795 | |
Megan Wilson Wood, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11725 N Illinois St Ste 445, Carmel, IN 46032 Phone: 317-844-7059 Fax: 317-819-0044 | |
Amy Broom, M.A. CCC-A Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 12188a N Meridian St Ste 375, Carmel, IN 46032 Phone: 317-926-1056 Fax: 317-806-2323 | |
Dr. Jeffrey Corbett Beach, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 Phone: 317-844-5656 Fax: 317-575-3795 |