| Dr Lisa A Hatcher, MD | |
|
265 Griffin St E, Amery, WI 54001-1439 | |
| (715) 268-8000 | |
| Not Available |
| Full Name | Dr Lisa A Hatcher |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 265 Griffin St E, Amery, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932164621 | NPI | - | NPPES |
| 000000325784 | Other | IN | ANTHEM |
| 3937240025 | Other | IN | MEDICARE DMEPOS |
| 200147080 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01048925 (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 100422-875 (Wisconsin) | Primary |
| Entity Name | Fort Wayne Medical Education Program |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184635153 PECOS PAC ID: 2860387933 Enrollment ID: O20040218000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa A Hatcher, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Dr Lisa A Hatcher, MD 265 Griffin St E, Amery, WI 54001-1439 Ph: (715) 268-8000 |
Patricia Lucia Spencer, M.D., M.P.H., M.B.A. Family Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Michael J Schneider, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 Fax: 715-268-0311 | |
Dr. Margie H Peterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 Fax: 715-268-0311 | |
Kevin G Klein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 Fax: 715-268-0311 | |
Dr. Mark R Druffner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Haley Combs, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Dr. Craig T Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 Fax: 715-268-1376 |