Mark E Hatton, MD | |
402 West Lake Street, Friendship, WI 53934 | |
(608) 339-6350 | |
Not Available |
Full Name | Mark E Hatton |
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Gender | Male |
Speciality | Family Medicine |
Location | 402 West Lake Street, Friendship, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801881388 | NPI | - | NPPES |
32060600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35892 (Wisconsin) | Primary |
Entity Name | Moundview Memorial Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
Mailing Address | Practice Location Address |
---|---|
Mark E Hatton, MD Po Box 40, Friendship, WI 53934 Ph: (608) 339-6350 | Mark E Hatton, MD 402 West Lake Street, Friendship, WI 53934 Ph: (608) 339-6350 |
Thao Tp Nguyen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 402 W Lake St, Friendship, WI 53934 Phone: 608-339-3331 | |
Paul A Kornaus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 402 W Lake St, Friendship, WI 53934 Phone: 608-339-3331 Fax: 608-339-8323 | |
Dr. Richie-ann Soriano Rodriguez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 402 West Lake Street, Friendship, WI 53934 Phone: 608-339-3331 |