Richard Hacker (NPI# 1013959675, PAC ID# 4183699374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1013959675 |
| PAC ID by PECOS | 4183699374 |
| Professional Enrollment ID | I20060510000179 |
| Full Name | Richard Hacker |
| Organization Legal Name | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
| Address |
412 Como Rd Lake Como PA 18437-1020 |
| Phone Number | 5707982828 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 3072598937 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390125 | WAYNE MEMORIAL HOSPITAL |
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 412 Como Rd, Lake Como, PA 18437-1020 | 5707982828 | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
| Organization Legal Name | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Murphy | General Surgery | Wayne Memorial Community Health Centers | 600 Maple Ave, Honesdale, PA 18431-1459 |
| Samuel Ganz | Internal Medicine | Wayne Memorial Community Health Centers | 44 N Scott St, Suite 2, Carbondale, PA 18407-2059 |
| Joanne Pellicane | Obstetrics/gynecology | Wayne Memorial Community Health Centers | 750 Route 739, Lords Valley, PA 18428-6058 |
| Joseph C Seprosky Jr. | Family Medicine | Wayne Memorial Community Health Centers | 1839 Fair Ave, Honesdale, PA 18431-2121 |
| Thomas Obrien | Obstetrics/gynecology | Wayne Memorial Community Health Centers | 110 Park St, Honesdale, PA 18431-2023 |
| Michael Theodore Peterson | Internal Medicine | Wayne Memorial Community Health Centers | 750 Route 739, Lords Valley, PA 18428-6058 |
| Paula Bennett | Family Medicine | Wayne Memorial Community Health Centers | 600 Maple Ave, Honesdale, PA 18431-1459 |
| Charles D Aronica | Internal Medicine | Wayne Memorial Community Health Centers | 600 Maple Ave, Honesdale, PA 18431-1459 |
| William Russell Dewar Iii | Internal Medicine | Wayne Memorial Community Health Centers | 1839 Fair Ave, Honesdale, PA 18431-2121 |
| James G Cruse | Family Medicine | Wayne Memorial Community Health Centers | 750 Route 739, Lords Valley, PA 18428-6058 |
| Street Address |
412 COMO RD |
| City | LAKE COMO |
| State | PA |
| Zip | 18437-1020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hoon Yoo | Obstetrics/gynecology | Wayne Memorial Community Health Centers | 412 Como Rd, Lake Como, PA 18437-1020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George A Ptakowski | Family Medicine | 562 Rt, 940 Mt Pocono Family Practice Center, Pocono Lake, PA 18437-8206 |
| City | LAKE COMO |
| Zip Code | 18437 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAKE COMO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Richard Hacker.
| 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.