Kevin Stuart Hatcher-ross, MD | |
700 Ne 87th Ave, Vancouver, WA 98664-1913 | |
(360) 397-3158 | |
Not Available |
Full Name | Kevin Stuart Hatcher-ross |
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Gender | Male |
Speciality | Pediatrics |
Location | 700 Ne 87th Ave, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831234855 | NPI | - | NPPES |
213252 | Medicaid | OR | |
8481657 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 18015 (Minnesota) | Secondary |
208000000X | Pediatrics | MD00047926 (Washington) | Primary |
Entity Name | The Vancouver Clinic Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
Mailing Address | Practice Location Address |
---|---|
Kevin Stuart Hatcher-ross, MD 700 Ne 87th Ave, Vancouver, WA 98664-1913 Ph: (360) 397-1500 | Kevin Stuart Hatcher-ross, MD 700 Ne 87th Ave, Vancouver, WA 98664-1913 Ph: (360) 397-3158 |
Aidan H Derenne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146 | |
Charles E Fuchs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146 | |
Laurie Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-397-1500 Fax: 360-397-1328 | |
Jing Jing Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1758 | |
Veronica S Erhart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661 Phone: 360-891-7300 | |
Katherine Elizabeth Holland, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Suite 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146 | |
Jennifer L Soden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146 |