Richard Keith Hacker, MD is a medicare enrolled "Family Medicine" physician in Lake Como, Pennsylvania. He went to Boston University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Wayne Memorial Community Health Centers and his current practice location is
412 Como Rd, Lake Como, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 798-2828.
Richard Keith Hacker is licensed to practice in Pennsylvania (license number MD427949) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013959675.
Physician's Profile
Full Name | Richard Keith Hacker |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 40 Years |
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Location | 412 Como Rd, Lake Como, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Richard Keith Hacker attended and graduated from Boston University School Of Medicine in 1984
NPI Data:
- NPI Number: 1013959675
- Provider Enumeration Date: 06/11/2006
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183699374
- Enrollment ID: I20060510000179
Medical Identifiers
Medical identifiers for Richard Keith Hacker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013959675 | NPI | - | NPPES |
1018670380007 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD427949 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wayne Memorial Community Health Centers | 3072598937 | 18 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard Keith Hacker allows following entities to bill medicare on his behalf.
Entity Name | Wayne Memorial Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
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Entity Name | Brookville Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063560852 PECOS PAC ID: 3072579598 Enrollment ID: O20050428000025 |
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Entity Name | Pennsylvania Physician Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Keith Hacker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Richard Keith Hacker, MD 601 Park St, Honesdale, PA 18431-1445 Ph: (570) 253-8226 | Richard Keith Hacker, MD 412 Como Rd, Lake Como, PA 18437-1020 Ph: (570) 798-2828 |
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