Dr Charles Richard Hathaway, DC in Portland, OR - Medicare Chiropractor Provider

Dr Charles Richard Hathaway, DC is a medicare enrolled "Chiropractor - Orthopedic" provider in Portland, Oregon. His current practice location is 10011 Se Division St, Suite 205, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 256-2654.

Dr Charles Richard Hathaway is licensed to practice in Oregon (license number 27-1248) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093896631.

Contact Information

	Dr Charles Richard Hathaway, DC
	10011 Se Division St, Suite 205, Portland, OR 97266-1351
	(503) 256-2654
	(503) 256-2493

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Charles Richard Hathaway
Gender	Male
Speciality	Chiropractor - Orthopedic
Location	10011 Se Division St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093896631
Provider Enumeration Date: 10/18/2006
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9830476142
Enrollment ID: I20170515000514

Medical Identifiers

Medical identifiers for Dr Charles Richard Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093896631	NPI	-	NPPES
20-1718201	Other	OR	TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NX0800X	Chiropractor - Orthopedic	27-1248 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Charles Richard Hathaway allows following entities to bill medicare on his behalf.

Provider Name	Chirocare Chiropractic Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578847448 PECOS PAC ID: 2860779170 Enrollment ID: O20170515000363

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Richard Hathaway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Charles Richard Hathaway, DC 10011 Se Division St, Suite 209, Portland, OR 97266-1351 Ph: (503) 256-2654	Dr Charles Richard Hathaway, DC 10011 Se Division St, Suite 205, Portland, OR 97266-1351 Ph: (503) 256-2654

Reviews and Comments

Chiropractor in Portland, OR

Dorian D Quinn, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6230 Ne Halsey St, Portland, OR 97213 Phone: 503-236-8697 Fax: 503-236-8697
Dr. Daniel Antonio Lujan, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4425 Sw Corbett Ave, Portland, OR 97239 Phone: 503-225-9033 Fax: 503-225-9039
Beaumont Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4211 Ne Fremont St, Portland, OR 97213 Phone: 503-287-6666 Fax: 503-287-1390
Caressa Gullikson, Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 Ne 20th Ave Ste 20, Portland, OR 97232 Phone: 974-229-1384
Active Injury Rehab, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5253 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-766-4881
Dr. Marelle O'meara, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 121 Sw Morrison St, Suite 905, Portland, OR 97204 Phone: 503-222-7304 Fax: 503-227-8210
Dr. Elise G. Hewitt, DC, CST, DICCP Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2031 E Burnside St, Portland, OR 97214 Phone: 503-224-2100 Fax: 503-224-2129

Dr Charles Richard Hathaway, DC - Medicare Chiropractor in Portland, OR