| Andrea S Hatchette, MD | |
|
5125 Skyline Rd S, Salem, OR 97306-9413 | |
| (844) 549-0600 | |
| Not Available |
| Full Name | Andrea S Hatchette |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 22 Years |
| Location | 5125 Skyline Rd S, Salem, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003010893 | NPI | - | NPPES |
| 216780101 | Medicaid | TX | |
| 216780102 | Medicaid | TX | |
| 216780103 | Medicaid | TX | |
| BP1-0027249 | Other | INSTITUTIONAL PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD.MD.60650133 (Washington) | Secondary |
| 208800000X | Urology | MD167154 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1805 |
| Entity Name | Kaiser Foundation Health Plan of the Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea S Hatchette, MD 500 Ne Multnomah St Ste 100, Portland, OR 97232-2099 Ph: (800) 813-2000 | Andrea S Hatchette, MD 5125 Skyline Rd S, Salem, OR 97306-9413 Ph: (844) 549-0600 |
Dr. John Mark Mhoon, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th Street Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 |
Vitaly Layvant, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th St Se, Salem, OR 97302 Phone: 503-561-7100 |
Philip A. Rosen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th Street Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 |
Timothy Wrea Fleming, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5975 |
Bradley W Warner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th Street Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 |
Dr. David T Elmgren, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2973 12th Street Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 |
Erika Lynn Mccarthy, PA Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th St Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 |