Charles D Hackett (NPI# 1558539957, PAC ID# 3779710090) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPICE/PALLIATIVE CARE.
| Nation Provider ID (NPI) | 1558539957 |
| PAC ID by PECOS | 3779710090 |
| Professional Enrollment ID | I20131212000617 |
| Full Name | Charles D Hackett |
| Organization Legal Name | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| Address |
506 Prospect St Fall River MA 02720-5239 |
| Phone Number | 5089737888 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 0749171957 |
| Number of Group Practice Members | 540 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410006 | NEWPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 506 Prospect St, Fall River, MA 02720-5239 | 5089737888 | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| 1085 N Main St, Providence, RI 02904-5719 | 4014154275 | HOPE HOSPICE AND PALLIATIVE CARE RHODE ISLAND |
| Organization Legal Name | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| Physicians | 576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Elizabeth Charnecki | Family Medicine | Southcoast Physicians Group, Inc.. | 1334 Main Rd, Tiverton, RI 02878-4425 |
| Jessica Lynn Keough | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 480 Hawthorn St, North Dartmouth, MA 02747-3729 |
| Jeffrey Bird | Hospitalist | Southcoast Physicians Group, Inc.. | 101 Page St, New Bedford, MA 02740-3464 |
| Ernesto Gabriel Gonzalez | Obstetrics/gynecology | Southcoast Physicians Group, Inc.. | 543 N St, New Bedford, MA 02740-2782 |
| Kathryn Young Noonan | Otolaryngology | Southcoast Physicians Group, Inc.. | 299 Faunce Corner Rd, North Dartmouth, MA 02747-1218 |
| Sarah Anne Crowley | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 300 A Faunce Corner Rd, Suite 200, North Dartmouth, MA 02747-1280 |
| Kara J. Kopaczewski | Family Medicine | Southcoast Physicians Group, Inc.. | 49 State Road Pequot Bldg, North Dartmouth, MA 02747-3322 |
| Stephanie L Pine | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 2421 Cranberry Hwy, Suite 202, Wareham, MA 02571-5032 |
| Allan Mabardy | General Surgery | Southcoast Physicians Group, Inc.. | 300 B Faunce Corner Rd, Suite 101, North Dartmouth, MA 02747-1257 |
| Jennifer Lynn Bento | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 37 Commerce Way, Seekonk, MA 02771-5816 |
| Street Address |
506 PROSPECT ST |
| City | FALL RIVER |
| State | MA |
| Zip | 02720-5239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Soares | Registered Dietitian Or Nutrition Professional | Southcoast Physicians Group, Inc.. | 506 Prospect St, Fall River, MA 02720-5239 |
| Harvey A Reback | Internal Medicine | Southcoast Physicians Group, Inc.. | 506 Prospect St, Fall River, MA 02720-5239 |
| Wendy B Stern | Otolaryngology | Southcoast Physicians Group, Inc.. | 506 Prospect St, Fall River, MA 02720-5239 |
| Stephanie E Marts | Physician Assistant | Southcoast Physicians Group, Inc.. | 506 Prospect St, Fall River, MA 02720-5239 |
| Mark R Hilty | Internal Medicine | Southcoast Physicians Group, Inc.. | 506 Prospect St, Fall River, MA 02720-5239 |
| Jennifer A Sadeck | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 506 Prospect St, Fall River, MA 02720-5239 |
| Stephan M Becker | Emergency Medicine | Southcoast Physicians Group, Inc.. | 506 Prospect St, Fall River, MA 02720-5239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Schreffler | Psychologist, Clinical | 800 Davol St, Fall River, MA 02720-1023 | |
| Jacquline C Mosselle | Clinical Social Worker | Hri Clinics, Inc. | 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720-1108 |
| Mary E Morelli | Clinical Social Worker | Hri Clinics, Inc. | 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720-1108 |
| Gold Okoeka | Nurse Practitioner | Northeast Health Services LLC | 126 Cove St, Fall River, MA 02720-1306 |
| Kristin M Aylward | Clinical Social Worker | Northeast Health Services LLC | 126 Cove St, Fall River, MA 02720-1306 |
| Michael S Bezreh | Nurse Practitioner | Northeast Health Services LLC | 126 Cove St, Fall River, MA 02720-1306 |
| Stacy A Gonsalves | Clinical Social Worker | The May Institute Inc | 126 Cove St, Fall River, MA 02720-1306 |
| Irwin K Bennett | Psychiatry | The May Institute Inc | 126 Cove St, Fall River, MA 02720-1306 |
| Mark S Siskind | Nephrology | Nephrology Associates Inc | 48 Weaver St, Fall River, MA 02720-1310 |
| Joseph A Chazan | Nephrology | Nephrology Associates Inc | 48 Weaver St, Fall River, MA 02720-1310 |
| Find all physicians in zip 02720 | |||
| City | FALL RIVER |
| Zip Code | 02720 |
| Specialty | HOSPICE/PALLIATIVE CARE |
| City + Specialty | FALL RIVER + HOSPICE/PALLIATIVE CARE |
Please comment or provide details below to improve the information on Charles D Hackett.
| 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.