| Dr Christopher Allen Hathaway, MD, PHD | |
|
1104 W 8th St, Yankton, SD 57078-3306 | |
| (605) 665-7841 | |
| (605) 665-0546 |
| Full Name | Dr Christopher Allen Hathaway |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 1104 W 8th St, Yankton, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639392475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 7809 (South Dakota) | Primary |
| 208800000X | Urology | 25714 (Nebraska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Bryan Medical Center | Lincoln, NE | Hospital |
| Faith Regional Health Services | Norfolk, NE | Hospital |
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| St Michael's Hospital - Cah | Tyndall, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yankton Medical Clinic Pc | 1850208778 | 59 |
| Yankton Medical Clinic Pc | 1850208778 | 59 |
| Entity Name | Yankton Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447251350 PECOS PAC ID: 1850208778 Enrollment ID: O20040317000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Allen Hathaway, MD, PHD 1104 W 8th St, Yankton, SD 57078-3306 Ph: (605) 665-7841 | Dr Christopher Allen Hathaway, MD, PHD 1104 W 8th St, Yankton, SD 57078-3306 Ph: (605) 665-7841 |
Joseph R Boudreau, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2009 Locust St, Yankton, SD 57078 Phone: 605-689-1100 Fax: 605-689-1104 | |
Dr. Larry Alan Meyer, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2602 Mulberry St, Yankton, SD 57078 Phone: 605-260-0594 |