| Homer Paul Hatten Jr, MD | |
|
1485 37th St, Suite 107, Vero Beach, FL 32960-6500 | |
| (772) 569-9745 | |
| (772) 567-6868 |
| Full Name | Homer Paul Hatten Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 48 Years |
| Location | 1485 37th St, Vero Beach, Florida |
| 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 |
|---|---|---|---|
| 1700885811 | NPI | - | NPPES |
| 262748500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | ME0076679 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME0076679 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indian River Radiology Pa | 8628039419 | 3 |
| Entity Name | Indian River Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689616864 PECOS PAC ID: 8628039419 Enrollment ID: O20041025000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Homer Paul Hatten Jr, MD 111 Twin Island Reach, Vero Beach, FL 32963-3909 Ph: (772) 231-3453 | Homer Paul Hatten Jr, MD 1485 37th St, Suite 107, Vero Beach, FL 32960-6500 Ph: (772) 569-9745 |
Dr. Robert R Bisset, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Bernadette G Ramos-cardona, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Vero Radiology, Indian River, 3725 11th Cir, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Joanne Wojick Wernicki, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1485 37th St, Suite 107, Vero Beach, FL 32960 Phone: 772-569-9745 Fax: 772-567-6868 | |
Carl Tack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-563-4711 | |
Dr. John James Holmes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 Fax: 772-567-5631 | |
Raymond Sutkowski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Dr. David M Tabriz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 |