| Mrs Alicia Marie Stafford, MD | |
|
680 Centre St, Brockton, MA 02302-3308 | |
| (508) 941-7000 | |
| Not Available |
| Full Name | Mrs Alicia Marie Stafford |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 7 Years |
| Location | 680 Centre 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 |
|---|---|---|---|
| 1609360890 | NPI | - | NPPES |
| 7100897790 | Medicaid | KY | |
| 300075440 | Medicaid | IN | |
| 01089757A | Other | IN | INDIANA STATE LICENSE |
| 01089757B | Other | IN | CSR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 01089757A (Indiana) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 1025166 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Memorial Hospital And Health Care Center | Jasper, IN | Hospital |
| Methodist Hospital | Henderson, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evansville Surgical Associates Inc | 1557346723 | 43 |
| Entity Name | Evansville Surgical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497707517 PECOS PAC ID: 1557346723 Enrollment ID: O20040622000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alicia Marie Stafford, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 | Mrs Alicia Marie Stafford, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 |
John Mitko, Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Philip A Cohen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-2053 | |
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: Not Enrolled in Medicare Practice Location: 1 Pearl Street, Suite 2700, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-4105 | |
Kewei Zhang, Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7400 Fax: 508-941-6200 |