Dr Shandon Hatch, MD - Medicare Diagnostic Radiology in Rochester, NY

Dr Shandon Hatch, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rochester, New York. He went to Saint Louis University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Avera Mckennan, Avera Marshall, Avera Queen Of Peace, Avera Mckennan, Madison Community Hospital, Avera Marshall, Urology Specialists Chartered, Avera Queen Of Peace and his current practice location is 1425 Portland Ave, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 922-4000.

Dr Shandon Hatch is licensed to practice in Ohio (license number 35.124014) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487803839.

Contact Information

Dr Shandon Hatch, MD
1425 Portland Ave,
Rochester, NY 14621-3001
(585) 922-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Shandon Hatch
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location1425 Portland Ave, Rochester, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shandon Hatch attended and graduated from Saint Louis University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1487803839
  • Provider Enumeration Date: 09/10/2008
  • Last Update Date: 10/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4688892532
  • Enrollment ID: I20140905002190

Medical Identifiers

Medical identifiers for Dr Shandon Hatch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487803839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0904XRadiology - Nuclear Radiology 35.124014 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology 35.124014 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital
Avera Heart Hospital Of South DakotaSioux falls, SDHospital
Brookings Health SystemBrookings, SDHospital
Avera Marshall Regional Medical CtrMarshall, MNHospital
Pipestone County Medical CenterPipestone, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103833
Avera Marshall579969522778
Avera Queen Of Peace933505080689
Avera Mckennan0345157103833
Madison Community Hospital377957974338
Avera Marshall579969522778
Urology Specialists Chartered923403132941
Avera Queen Of Peace933505080689

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shandon Hatch allows following entities to bill medicare on his behalf.
Entity NameRiverside Radiology And Interventional Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093718496
PECOS PAC ID: 8729976964
Enrollment ID: O20040309000317
Entity NameLucidsolutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518594480
PECOS PAC ID: 0749603462
Enrollment ID: O20200721004224
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053680678
PECOS PAC ID: 0345157103
Enrollment ID: O20230210001251
Entity NameAvera Marshall
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962641936
PECOS PAC ID: 5799695227
Enrollment ID: O20230510001831
Entity NameAvera Queen Of Peace
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053827634
PECOS PAC ID: 9335050806
Enrollment ID: O20230901003543

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shandon Hatch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shandon Hatch, MD
1425 Portland Ave,
Rochester, NY 14621-3001

Ph: (585) 922-4000
Dr Shandon Hatch, MD
1425 Portland Ave,
Rochester, NY 14621-3001

Ph: (585) 922-4000

Reviews and Comments


Radiology Doctors in Rochester, NY

Dr. Scott Ross Schiffman, M.D.
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Mr. Jeffrey Caleb Haynes, MD
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Dr. Matthew Daniel Diamond, M.D.
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Dr. Benjamin Ernst Onderdonk, M.D.
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Practice Location: 1425 Portland Ave, Rochester, NY 14621
Phone: 585-922-4031    Fax: 585-922-2971
Bhupinder Hoonjan,
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Medicare: Not Enrolled in Medicare
Practice Location: 601 Elmwood Ave, Rochester, NY 14642
Phone: 585-275-2734    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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