| 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 | 37 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 |
| Frederick Health Hospital | Frederick, MD | Hospital |
| Chambersburg Hospital | Chambersburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Practices Of Antietam, Llc | 2567353865 | 198 |
| 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: Not Enrolled in Medicare 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 | |
Patrick J Dennis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Suite 228, Hagerstown, MD 21742 Phone: 301-733-0022 Fax: 301-733-3461 |