Nathanael Edward Hathaway, MD is a medicare enrolled "Dermatology" physician in Fort Belvoir, Virginia. His current practice location is
9300 Dewitt Loop, Fort Belvoir, Virginia. You can reach out to his office (for appointments etc.) via phone at
(619) 889-4060.
Nathanael Edward Hathaway is licensed to practice in Virginia (license number 0101250715) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932477981.
Physician's Profile
Full Name | Nathanael Edward Hathaway |
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Gender | Male |
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Speciality | Dermatology |
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Location | 9300 Dewitt Loop, Fort Belvoir, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932477981
- Provider Enumeration Date: 12/06/2011
- Last Update Date: 12/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476931692
- Enrollment ID: I20220531002102
Medical Identifiers
Medical identifiers for Nathanael Edward Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932477981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0101250715 (Virginia) | Secondary |
207N00000X | Dermatology | 0101250715 (Virginia) | Primary |
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. Nathanael Edward Hathaway allows following entities to bill medicare on his behalf.
Entity Name | Renewal Dermatology & Medspa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619232469 PECOS PAC ID: 8527216993 Enrollment ID: O20130425000475 |
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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. Nathanael Edward Hathaway 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 Address | Practice Location Address |
Nathanael Edward Hathaway, MD 7950 Martin Loop, Fort Benning, GA 31905-5648 Ph: (703) 389-2695 | Nathanael Edward Hathaway, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (619) 889-4060 |
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