| Audra L Hauck, PA | |
|
123 Summer St, Worcester, MA 01608-1200 | |
| (508) 363-5000 | |
| (508) 363-7164 |
| Full Name | Audra L Hauck |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 123 Summer St, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437119625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1328 (Massachusetts) | Primary |
| Entity Name | Saint Vincent Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013997329 PECOS PAC ID: 8921056276 Enrollment ID: O20050104000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Audra L Hauck, PA 123 Summer St, Worcester, MA 01608-1200 Ph: (508) 363-5000 | Audra L Hauck, PA 123 Summer St, Worcester, MA 01608-1200 Ph: (508) 363-5000 |
Mark Manzo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Park Ave Ste 163, Worcester, MA 01609 Phone: 508-752-0843 | |
Helen Copsey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-8585 Fax: 508-334-4799 | |
Daniel J Zinkus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552 Fax: 774-441-6086 | |
Rachel Anderson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 | |
Kyle Fernandez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-8515 Fax: 508-334-6490 | |
Marie L Gut, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Orthopedics, Worcester, MA 01655 Phone: 508-334-2372 Fax: 508-334-3408 | |
Keith A Beals, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 |