Anthony J Tickner


Address: 439 Main St, Suite 1, Hudson, MA 01749-1855

Anthony J Tickner (NPI# 1790872497, PAC ID# 0749387496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1790872497
PAC ID by PECOS 0749387496
Professional Enrollment ID I20070515000305
Full Name Anthony J Tickner
Address 439 Main St
Suite 1
Hudson
MA 01749-1855
Gender M
Credential DPM
Medical School NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year 2004
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
220176 ST VINCENT HOSPITAL

Other Locations

Address Phone Organization
439 Main St, Suite 1, Hudson, MA 01749-1855

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 439 MAIN ST
SUITE 1
City HUDSON
State MA
Zip 01749-1855

Physicians in the same zip code

Name Specialty Organization Address
John Inacio Physical Therapy Middlesex Rehabilitation Associates, Inc 131 Coolidge St, Suite 222, Hudson, MA 01749-1331
Deborah A Garagliano Physical Therapy Middlesex Rehabilitation Associates, Inc 131 Coolidge St, Suite 222, Hudson, MA 01749-1331
Richard C Mcmahon Internal Medicine Charles River Medical Associates, PC 101 Coolidge St, Hudson, MA 01749-1354
Theresa A Kafina Nurse Practitioner Charles River Medical Associates, PC 101 Coolidge St, Hudson, MA 01749-1354
Alison M Helmuth Nurse Practitioner Charles River Medical Associates, PC 101 Coolidge St, Hudson, MA 01749-1354
Nancy Gail Golder Nurse Practitioner Charles River Medical Associates, PC 101 Coolidge St, Hudson, MA 01749-1354
Christian Potter-kablotsky Internal Medicine Charles River Medical Associates, PC 101 Coolidge St, Hudson, MA 01749-1354
Jennifer L Cabral Nurse Practitioner Charles River Medical Associates, PC 101 Coolidge St, Hudson, MA 01749-1354
J Lawrence Dohan Dermatology 101 Coolidge St, Hudson, MA 01749-1354
Susan M Lyons Nurse Practitioner Charles River Medical Associates, PC 101 Coolidge St, Hudson, MA 01749-1354
Find all physicians in zip 01749

Competitor

Search similar physicians

City HUDSON
Zip Code 01749
Specialty PODIATRY
City + Specialty HUDSON + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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