Dr Brian W Hawthorne, MD | |
50 Merrick St, Indiana, PA 15701-8988 | |
(304) 276-1578 | |
Not Available |
Full Name | Dr Brian W Hawthorne |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 50 Merrick St, Indiana, Pennsylvania |
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 |
---|---|---|---|
1396726337 | NPI | - | NPPES |
1802281000 | Medicaid | WV | |
001709238 | Other | WV | GROUP BLUE SHIELD # |
3810002243 | Medicaid | WV | |
001718039 | Other | WV | IND BLUE SHIELD # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19027 (West Virginia) | Secondary |
207Q00000X | Family Medicine | MD061667L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Medical Center | Conway, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100107000067 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian W Hawthorne, MD 50 Merrick St, Indiana, PA 15701-8988 Ph: (304) 276-1578 | Dr Brian W Hawthorne, MD 50 Merrick St, Indiana, PA 15701-8988 Ph: (304) 276-1578 |
Narinder Sangha, Family Medicine Medicare: Medicare Enrolled Practice Location: 835 Hospital Rd, Indiana, PA 15701 Phone: 724-464-2765 | |
Dr. Michael Vincent Suffredini, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Irmc Dr Ste 100, Indiana, PA 15701 Phone: 727-357-8367 | |
Tauseef Akhlaque, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Hospital Rd, Indiana, PA 15701 Phone: 724-464-2765 | |
Maria Olivia Stiles, CRNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Hospital Rd Ste 3200, Indiana, PA 15701 Phone: 724-463-1414 | |
Dr. Debra Ann Schettini-prasko, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2128 Oakland Ave, Indiana, PA 15701 Phone: 724-463-1064 Fax: 724-723-2873 | |
Jonathan M Shafer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 879 Hospital Rd, Indiana, PA 15701 Phone: 888-845-2147 Fax: 724-357-8202 | |
Dr. Kim Alan Hatcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 119 Professional Ctr, 1265 Wayne Avenue Suite 107, Indiana, PA 15701 Phone: 724-349-7980 Fax: 724-349-7988 |