Dr Peter Blaine Hathaway, MD - Medicare Diagnostic Radiology in Farmington, UT

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Dr Peter Blaine Hathaway, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Farmington, Utah. He went to University Of Utah School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tooele Valley Imaging Llc, Utah Imaging Associates Inc, Wasatch Vascular Center Llc and his current practice location is 1433 N 1075 W Ste 104, Farmington, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 298-1300.

Dr Peter Blaine Hathaway is licensed to practice in Utah (license number 372564-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730187824.

Contact Information

Dr Peter Blaine Hathaway, MD
1433 N 1075 W Ste 104,
Farmington, UT 84025-2746
(801) 298-1300
Not Available

Map and Direction




Physician's Profile

Full NameDr Peter Blaine Hathaway
GenderMale
SpecialityDiagnostic Radiology
Experience31 Years
Location1433 N 1075 W Ste 104, Farmington, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Peter Blaine Hathaway attended and graduated from University Of Utah School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1730187824
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 02/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4284521808
  • Enrollment ID: I20040228000572

Medical Identifiers

Medical identifiers for Dr Peter Blaine Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730187824NPI-NPPES
8067535MedicaidID
002089152MedicaidNV
P00196218OtherUTRR MEDICARE
120828400MedicaidWY
4456436MedicaidCA
927733MedicaidAZ
P00651533OtherUTRR MEDICARE
D2916MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 372564-1205 (Utah)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 372564-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mark's HospitalSalt lake city, UTHospital
Lone Peak HospitalDraper, UTHospital
Lakeview HospitalBountiful, UTHospital
Ogden Regional Medical CenterOgden, UTHospital
Brigham City Community HospitalBrigham city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tooele Valley Imaging Llc246662463019
Utah Imaging Associates Inc135539453743
Wasatch Vascular Center Llc19517269676

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 Peter Blaine Hathaway allows following entities to bill medicare on his behalf.
Entity NameCentral Utah Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805
Entity NameUtah Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629076229
PECOS PAC ID: 1355394537
Enrollment ID: O20050228000845
Entity NameTooele Valley Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699004499
PECOS PAC ID: 2466624630
Enrollment ID: O20111012000146
Entity NameOquirrh Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568734143
PECOS PAC ID: 4082875448
Enrollment ID: O20120411000273
Entity NameWasatch Vascular Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558905398
PECOS PAC ID: 1951726967
Enrollment ID: O20200807002691
Entity NameGreen River Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508533878
PECOS PAC ID: 5294123063
Enrollment ID: O20211027002062

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 Peter Blaine 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 AddressPractice Location Address
Dr Peter Blaine Hathaway, MD
Po Box 25488,
Salt Lake City, UT 84125-0488

Ph: (800) 475-3698		Dr Peter Blaine Hathaway, MD
1433 N 1075 W Ste 104,
Farmington, UT 84025-2746

Ph: (801) 298-1300

Reviews and Comments


Radiology Doctors in Farmington, UT

Dr. Cole Joseph Panushka, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025
Phone: 801-298-1300    Fax: 801-296-6199
Dr. Christopher J. Parr, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025
Phone: 801-298-1300    Fax: 801-296-6199
Dr. David Ray Dedrickson, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1433 N 1075 W, Ste 104, Farmington, UT 84025
Phone: 801-298-1300    Fax: 801-296-6199
Dr. Jason Anthony Kirkham, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025
Phone: 801-298-1300    Fax: 801-296-6199
Colin David Jones, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025
Phone: 801-298-1300    
Dr. Trenton Mcneil Wright, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025
Phone: 801-298-1300    Fax: 801-296-6199
Dr. Craig Michael Carpenter, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025
Phone: 801-298-1300    Fax: 801-296-6199

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.