| Joseph Hathorn, MD | |
|
3330 Masonic Dr, Alexandria, LA 71301-3841 | |
| (800) 639-2519 | |
| (985) 447-8556 |
| Full Name | Joseph Hathorn |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3330 Masonic Dr, Alexandria, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073545588 | NPI | - | NPPES |
| 1435279 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 13632R (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | M6179 (Texas) | Primary |
| Entity Name | Travis County Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Hathorn, MD Po Box 12670, Alexandria, LA 71315-2670 Ph: (800) 639-2519 | Joseph Hathorn, MD 3330 Masonic Dr, Alexandria, LA 71301-3841 Ph: (800) 639-2519 |
Dr. Vernon William Cantwell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-397-1274 | |
Kelvin Spears, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 800-639-2519 Fax: 985-447-8556 | |
Larry Parker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 800-639-2519 Fax: 985-447-8556 | |
Dr. James Huey Hebert, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 318-448-6750 | |
Robert Grant Horton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-473-3000 | |
Dr. Fred Michael Reid, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 311 Camille St, Alexandria, LA 71301 Phone: 318-448-8548 Fax: 318-448-8548 |