| Barbara B Hackman Md Pc | |
|
30 S Valley Rd Suite 205 Paoli PA 19301-1450 | |
| (610) 651-7760 | |
| (610) 651-7767 |
| Full Name | Barbara B Hackman Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 30 S Valley Rd, Paoli, Pennsylvania |
| Authorized Official Name and Position | Barbara B Hackman (PRESIDENT) |
| Authorized Official Contact | 6106517760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara B Hackman Md Pc 30 S Valley Rd Suite 205 Paoli PA 19301-1450 Ph: (610) 651-7760 | Barbara B Hackman Md Pc 30 S Valley Rd Suite 205 Paoli PA 19301-1450 Ph: (610) 651-7760 |
| NPI Number | 1467624072 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 07/03/2008 |
| Medicare PECOS PAC ID | 6002955200 |
|---|---|
| Medicare Enrollment ID | O20091201000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467624072 | NPI | - | NPPES |
| 2103014000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 001416468 | Other | PA | HIGHMARK BS |
| 2103014000 | Other | PA | AMERIHEALTH, INC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MD072634L (Pennsylvania) | Primary |
| Provider Name | Barbara B Hackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538185582 PECOS PAC ID: 2365343563 Enrollment ID: I20040120000562 |
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