Kevin C Hackett, MD | |
11110 Medical Campus Rd, Suite 228, Hagerstown, MD 21742-6700 | |
(301) 733-0022 | |
(301) 733-3461 |
Full Name | Kevin C Hackett |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 35 Years |
Location | 11110 Medical Campus Rd, Hagerstown, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568419901 | NPI | - | NPPES |
370801200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | D47115 (Maryland) | Primary |
208800000X | Urology | MD0550551 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Meritus Medical Center | Hagerstown, MD | Hospital |
Waynesboro Hospital | Waynesboro, PA | Hospital |
Fulton County Medical Center | Mcconnellsburg, PA | Hospital |
Frederick Health Hospital | Frederick, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Practices Of Antietam, Llc | 2567353865 | 183 |
Entity Name | Medical Practices Of Antietam, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
Entity Name | Urological Center P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952358186 PECOS PAC ID: 3375582844 Enrollment ID: O20081017000400 |
Mailing Address | Practice Location Address |
---|---|
Kevin C Hackett, MD Po Box 37813, Baltimore, MD 21297-7813 Ph: (301) 733-0022 | Kevin C Hackett, MD 11110 Medical Campus Rd, Suite 228, Hagerstown, MD 21742-6700 Ph: (301) 733-0022 |
Wayne A Mcwilliams, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11110 Medical Campus Rd, Suite 228, Hagerstown, MD 21742 Phone: 301-733-0022 Fax: 301-733-3461 | |
Hugh J Talton, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd, Suite 228, Hagerstown, MD 21742 Phone: 301-733-0022 Fax: 301-733-3461 | |
Dr. John B Maggioncalda, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd Ste 228, Hagerstown, MD 21742 Phone: 301-733-0022 | |
Richard Charles Bryson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Ste 228, Hagerstown, MD 21742 Phone: 301-733-0022 Fax: 301-733-3461 | |
Mohammad R Chaudhry, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11110 Medical Campus Rd, Suite 228, Hagerstown, MD 21742 Phone: 301-733-0022 Fax: 301-733-3461 | |
Spencer K Craven, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd Ste 228, Hagerstown, MD 21742 Phone: 301-790-9350 |