| Dr Nickoline M Hathaway, MD | |
|
152 Pioneer Ln, Suite C, Bishop, CA 93514-2563 | |
| (760) 873-7111 | |
| Not Available |
| Full Name | Dr Nickoline M Hathaway |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 152 Pioneer Ln, Bishop, California |
| 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 |
|---|---|---|---|
| 1629005749 | NPI | - | NPPES |
| 00G477050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G47705 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Inyo Hospital | Bishop, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Inyo Healthcare District | 8921992090 | 83 |
| Entity Name | Northern Inyo Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922198712 PECOS PAC ID: 8921992090 Enrollment ID: O20040210000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nickoline M Hathaway, MD 152 Pioneer Ln, Suite C, Bishop, CA 93514-2563 Ph: (760) 873-7111 | Dr Nickoline M Hathaway, MD 152 Pioneer Ln, Suite C, Bishop, CA 93514-2563 Ph: (760) 873-7111 |
Dr. Susan Jeanne Robinson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 985 Ed Powers Rd, Bishop, CA 93514 Phone: 805-746-6229 | |
Manish Pandya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Pioneer Ln, Bishop, CA 93514 Phone: 760-873-5811 | |
James Tur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Pioneer Lane, Bishop, CA 93514 Phone: 916-538-0505 | |
Dr. Asao Kamei, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 152 Pioneer Ln, Suite C, Bishop, CA 93514 Phone: 760-873-7111 |