Jessie H Macvicar, MD | |
110 Liberty St, Brockton, MA 02301-5521 | |
(508) 894-0400 | |
(508) 565-0157 |
Full Name | Jessie H Macvicar |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 28 Years |
Location | 110 Liberty St, Brockton, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912988874 | NPI | - | NPPES |
0161730 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 206882 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
Good Samaritan Medical Center | Brockton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Signature Healthcare Medical Group Inc | 7719876267 | 178 |
Entity Name | Signature Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
Mailing Address | Practice Location Address |
---|---|
Jessie H Macvicar, MD 110 Liberty St, Brockton, MA 02301-5521 Ph: (508) 894-0400 | Jessie H Macvicar, MD 110 Liberty St, Brockton, MA 02301-5521 Ph: (508) 894-0400 |
John Mitko, Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Giovanni Agostino Ferrante, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 150-894-1700 | |
Dr. Henry Lin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0766 Fax: 508-565-0097 | |
Aqeel M Siddiqui, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 Oak St Ste 200w, Brockton, MA 02301 Phone: 774-480-1600 | |
Richard L Paulson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl Street, Suite 2700, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-4105 | |
Kewei Zhang, Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7400 Fax: 508-941-6200 | |
Robert M Becher, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl Street, Suite 2700, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-4105 |