Mae Hickory (NPI# 1750834651, PAC ID# 9133416076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750834651 |
| PAC ID by PECOS | 9133416076 |
| Professional Enrollment ID | I20160921000979 |
| Full Name | Mae Hickory |
| Organization Legal Name | COPLEY HOSPITAL, INC. |
| Address |
555 Washington Hwy Morrisville VT 05661 |
| Phone Number | 8028888683 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234125766 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471305 | COPLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 555 Washington Hwy, Morrisville, VT 05661 | 8028888683 | COPLEY HOSPITAL, INC. |
| Organization Legal Name | COPLEY HOSPITAL, INC. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Katharina Glick | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Nicholas Antell | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Nella Wennberg | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Nathan Hemmer | Emergency Medicine | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Janessa Vandette | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Cortny A Rector | Certified Registered Nurse Anesthetist (crna) | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Adam Putnam | Emergency Medicine | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| John C Macy | Orthopedic Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Courtney Lehn Olmsted | General Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661 |
| Alexis Gagne | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Street Address |
555 WASHINGTON HWY |
| City | MORRISVILLE |
| State | VT |
| Zip | 05661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Antell | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Bryan Monier | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Sharon Mansfield | Nurse Practitioner | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Bryan M Huber | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Saul G Trevino | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | |
| Courtney Lehn Olmsted | General Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661 |
| Donald Dupuis | General Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661 |
| Katherine Mc Donnally | Clinical Social Worker | 34 Pleasant St, Morrisville, VT 05661-4434 | |
| Elizabeth Z Perez | Urology | 51 Brigham St, Morrisville, VT 05661-6031 | |
| Judith Nepveu | Psychiatry | 201 Congress St, Morrisville, VT 05661-6049 | |
| Helene Susanne Nilsen | Certified Clinical Nurse Specialist (cns) | 1728 Laporte Rd, Morrisville, VT 05661-8316 | |
| Cheryl J Holton | Nurse Practitioner | Tamarack Family Medicine | 109 Professional Dr, Morrisville, VT 05661-8524 |
| Claire Hancock | Clinical Social Worker | Lamoille County Mental Health Services | 72 Harrel St, Morrisville, VT 05661-8526 |
| Virginia Havemeyer | Clinical Social Worker | Lamoille County Mental Health Services | 72 Harrel St, Morrisville, VT 05661-8526 |
| Find all physicians in zip 05661 | |||
| City | MORRISVILLE |
| Zip Code | 05661 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MORRISVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mae Hickory.
| 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.