| Mr Patrick Lee Hatfield, CRNA | |
|
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
| (859) 572-3232 | |
| (859) 572-3727 |
| Full Name | Mr Patrick Lee Hatfield |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 85 N Grand Ave, Fort Thomas, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174519540 | NPI | - | NPPES |
| 2441352 | Medicaid | OH | |
| 74003344 | Medicaid | KY | |
| 611077369006 4022322 | Other | HEALTHNET | |
| 200956850 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 7075607 (Kentucky) | Primary |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20151204001398 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Patrick Lee Hatfield, CRNA 401 E 20th St, Suite 5a, Covington, KY 41014-1583 Ph: (859) 655-7160 | Mr Patrick Lee Hatfield, CRNA 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 572-3232 |
Leonard Beachy, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 | |
Christopher Banner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 85 North Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3232 Fax: 859-572-3727 |