| Mr Brent Daniel Hatch, PA-C | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2045 | |
| (541) 266-4591 | |
| Not Available |
| Full Name | Mr Brent Daniel Hatch |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| 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 |
|---|---|---|---|
| 1730618513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA184028 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Coquille Valley Hospital | Coquille, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Area Hospital District | 2163331000 | 117 |
| Coquille Valley Health | 2567902182 | 20 |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Entity Name | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20040420000530 |
| Entity Name | South Coast Orthopaedic Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245284751 PECOS PAC ID: 2062408131 Enrollment ID: O20040423000168 |
| Entity Name | South Coast Surgery Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1205889110 PECOS PAC ID: 2062572258 Enrollment ID: O20081118000375 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
| Entity Name | Coquille Valley Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376374967 PECOS PAC ID: 2567902182 Enrollment ID: O20240910003766 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brent Daniel Hatch, PA-C 1610 Garfield St, North Bend, OR 97459-1809 Ph: (801) 678-2047 | Mr Brent Daniel Hatch, PA-C 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 266-4591 |
Akhila Parepalli, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 |
Mr. Gregory Sopka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 |
Casey Afton Quayle, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 |
Benjamin Val Chu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 |
Brittany Ralston, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 |
Anita Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Miluk Dr, Coos Bay, OR 97420 Phone: 541-888-9494 |
Clifford S Lance, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 |