| Sandra N Hickey, NP | |
| 
					255 Grapevine Rd, Wenham, MA 01984-1813  | |
| (978) 867-4300 | |
| (978) 867-4676 | 
| Full Name | Sandra N Hickey | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 255 Grapevine Rd, Wenham, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235498916 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 194123 (Massachusetts) | Primary | 
| Entity Name | Middleton Family Medicine Urgent Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902215106 PECOS PAC ID: 0042533218 Enrollment ID: O20141218001562  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sandra N Hickey, NP 255 Grapevine Rd, Wenham, MA 01984-1813 Ph: (978) 867-4300  | Sandra N Hickey, NP 255 Grapevine Rd, Wenham, MA 01984-1813 Ph: (978) 867-4300  | 
Amy Kolano,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Bruce Ln, Wenham, MA 01984 Phone: 781-820-0164  | |
Jennifer Dawn Gilligan, AGNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Main St Ste 15, Wenham, MA 01984 Phone: 978-239-0222  | |
Melissa Anne Rossetta, BSN,MS, AGNP-C, CWCN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 338r Grapevine Rd, Wenham, MA 01984 Phone: 617-877-4756 Fax: 978-969-1301  |