| Mr Christopher Barton Hackett, PA-C | |
|
12089 Lebanon Rd, Sharonville, OH 45241-1703 | |
| (513) 914-5002 | |
| Not Available |
| Full Name | Mr Christopher Barton Hackett |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 12089 Lebanon Rd, Sharonville, 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 |
|---|---|---|---|
| 1497238844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.005640RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 576 |
| Entity Name | Qualified Emergency Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700872728 PECOS PAC ID: 6002720430 Enrollment ID: O20031118001049 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Entity Name | CG Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982903951 PECOS PAC ID: 6608052196 Enrollment ID: O20110518000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Barton Hackett, PA-C 12089 Lebanon Rd, Sharonville, OH 45241-1703 Ph: (513) 915-5002 | Mr Christopher Barton Hackett, PA-C 12089 Lebanon Rd, Sharonville, OH 45241-1703 Ph: (513) 914-5002 |
Lillian Sedacca Bayer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3801 Hauck Rd, Sharonville, OH 45241 Phone: 513-853-1040 |
Sydney Marie Hoffmann, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 E Business Way, Sharonville, OH 45241 Phone: 513-354-3700 |