Dr Thomas Hickey, MD | |
1010 Liberty Rd, Suite 100, Eldersburg, MD 21784-7949 | |
(410) 549-0900 | |
(410) 549-6121 |
Full Name | Dr Thomas Hickey |
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Gender | Male |
Speciality | Pediatrics |
Location | 1010 Liberty Rd, Eldersburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851515738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0054033 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
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Dr Thomas Hickey, MD 1010 Liberty Rd, Suite 100, Eldersburg, MD 21784-7949 Ph: (410) 549-0900 | Dr Thomas Hickey, MD 1010 Liberty Rd, Suite 100, Eldersburg, MD 21784-7949 Ph: (410) 549-0900 |
Dr. Manuel J Datiles Iv, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900 Fax: 410-549-6121 | |
Cathy H Reifman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty Rd, Suite 205, Eldersburg, MD 21784 Phone: 410-795-7300 | |
Dr. Edward Lee Perl, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty Rd, Suite 205, Eldersburg, MD 21784 Phone: 410-795-7300 Fax: 410-795-5078 | |
Bruce I Feinerman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty Rd Ste 205, Eldersburg, MD 21784 Phone: 410-795-7300 | |
Dr. Jennifer A Kottra, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Liberty Rd Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900 |