| Dr Shandon Hatch, MD | |
|
439 Engelwood Ct, Powell, OH 43065-7927 | |
| (585) 922-4000 | |
| Not Available |
| Full Name | Dr Shandon Hatch |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 439 Engelwood Ct, Powell, Ohio |
| 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 |
|---|---|---|---|
| 1487803839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0904X | Radiology - Nuclear Radiology | 35.124014 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 35.124014 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Avera Heart Hospital Of South Dakota | Sioux falls, SD | Hospital |
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Brookings Health System | Brookings, SD | Hospital |
| Regional Health Services Of Howard County | Cresco, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 965 |
| Avera Marshall | 5799695227 | 103 |
| Avera Queen Of Peace | 9335050806 | 113 |
| Urology Specialists Chartered | 9234031329 | 46 |
| Madison Community Hospital | 3779579743 | 46 |
| Avera Mckennan | 0345157103 | 965 |
| Avera Marshall | 5799695227 | 103 |
| Avera Queen Of Peace | 9335050806 | 113 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Entity Name | Urology Specialists Chartered |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881647246 PECOS PAC ID: 9234031329 Enrollment ID: O20040121000003 |
| Entity Name | Madison Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20040423000982 |
| Entity Name | St Michael's Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730123522 PECOS PAC ID: 2668380262 Enrollment ID: O20101007000239 |
| Entity Name | Madison Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20101012001097 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962641936 PECOS PAC ID: 5799695227 Enrollment ID: O20191211001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shandon Hatch, MD 1425 Portland Ave, Rochester, NY 14621-3001 Ph: (585) 922-4000 | Dr Shandon Hatch, MD 439 Engelwood Ct, Powell, OH 43065-7927 Ph: (585) 922-4000 |
Antony Lee Roberts, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 90 Village Pointe Dr, Powell, OH 43065 Phone: 614-791-1300 Fax: 614-791-1302 | |
Edwin Donnelly, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5118 Canterbury Dr, Powell, OH 43065 Phone: 614-893-9204 | |
Dr. S. Douglas Haas, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Village Pointe Dr, Powell, OH 43065 Phone: 614-791-1300 | |
Dr. Michael Christopher Lahm, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 90 Village Pointe Dr, Powell, OH 43065 Phone: 614-791-1300 Fax: 614-791-1302 | |
Dr. Thomas Fox, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 90 Village Pointe Dr, Powell, OH 43065 Phone: 614-791-1300 | |
Dr. Charles Muncrief, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 90 Village Pointe Dr, Powell, OH 43065 Phone: 614-791-1300 |