| Mr Richard Dean Hacker, PA-C | |
|
298 W Mariposa Rd Ste 2, Nogales, AZ 85621-1089 | |
| (520) 394-7388 | |
| (520) 394-7387 |
| Full Name | Mr Richard Dean Hacker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 298 W Mariposa Rd Ste 2, Nogales, Arizona |
| 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 |
|---|---|---|---|
| 1255581880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nextcare Arizona I Jv Llc | 7416393194 | 297 |
| Entity Name | Nextcare Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
| Entity Name | Nextcare Arizona I JV LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114798071 PECOS PAC ID: 7416393194 Enrollment ID: O20240316000136 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Dean Hacker, PA-C 298 W Mariposa Rd Ste 2, Nogales, AZ 85621-1089 Ph: (520) 394-7388 | Mr Richard Dean Hacker, PA-C 298 W Mariposa Rd Ste 2, Nogales, AZ 85621-1089 Ph: (520) 394-7388 |
Antonio Martinez Barrera, Physician Assistant Medicare: Medicare Enrolled Practice Location: 355 W Mariposa Rd, Nogales, AZ 85621 Phone: 520-761-3533 |
Lizette Leach, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112 |
Bradley R Register, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 298 W Mariposa Rd Ste 1, Nogales, AZ 85621 Phone: 520-394-7388 |