Dr Gary Martin Hatch, MD | |
1100 Monterey St, Suite 210, San Luis Obispo, CA 93401-3102 | |
(805) 542-9700 | |
(805) 542-0584 |
Full Name | Dr Gary Martin Hatch |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 24 Years |
Location | 1100 Monterey St, San Luis Obispo, California |
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 |
---|---|---|---|
1093874075 | NPI | - | NPPES |
00G840840 | Medicaid | CA | |
A78467 | Other | CA | LICENSE |
CH9716 | Other | CA | CHAMPUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A78467 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maryville Radiology Group Ltd | 6608885256 | 7 |
Entity Name | Unm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Entity Name | Cleveland Clinic Health Services Professional Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770082471 PECOS PAC ID: 3577813005 Enrollment ID: O20191009000280 |
Entity Name | Maryville Radiology Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497773063 PECOS PAC ID: 6608885256 Enrollment ID: O20220324001513 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Martin Hatch, MD 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401-3102 Ph: (805) 542-9700 | Dr Gary Martin Hatch, MD 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401-3102 Ph: (805) 542-9700 |
Dr. Archana C Lucchesi, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6729 Monte Rd, San Luis Obispo, CA 93401 Phone: 858-546-3800 Fax: 858-546-3900 | |
Andy Hoang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Monterey St Ste 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 | |
Dr. Lisa Marie Wieler, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 Fax: 805-542-0584 | |
Dr. Jeffrey Kai Wu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Casa St Ste C, San Luis Obispo, CA 93405 Phone: 805-541-1932 Fax: 805-541-1653 | |
Dr. Michael Chervonski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7600 | |
Robert D Henretig, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401 Phone: 805-269-1313 Fax: 805-269-1387 |