Thomas Allan Hitchcock, DO | |
1055 Saxon Blvd, Dept. Of Pathology, Orange City, FL 32763-8468 | |
(386) 851-5000 | |
(386) 917-5184 |
Full Name | Thomas Allan Hitchcock |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 27 Years |
Location | 1055 Saxon Blvd, Orange City, Florida |
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 |
---|---|---|---|
1477660504 | NPI | - | NPPES |
5904724 | Medicaid | NC | |
000153100 | Medicaid | FL | |
P00352128 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | OS10390 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Pathology Associates Pc | 5890781371 | 47 |
Entity Name | Southeastern Pathology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821104704 PECOS PAC ID: 5890781371 Enrollment ID: O20040421000744 |
Mailing Address | Practice Location Address |
---|---|
Thomas Allan Hitchcock, DO Po Box 144333, Orlando, FL 32814-4333 Ph: (407) 422-9831 | Thomas Allan Hitchcock, DO 1055 Saxon Blvd, Dept. Of Pathology, Orange City, FL 32763-8468 Ph: (386) 851-5000 |
Pedro N. Yepes-hoyos, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Dept. Of Pathology, Orange City, FL 32763 Phone: 386-851-5000 Fax: 386-917-5159 | |
Charles Edward Bunnell, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Dept. Of Pathology, Orange City, FL 32763 Phone: 386-651-5000 Fax: 386-917-5159 | |
Mario H. Alvarado, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Dept. Of Pathology, Orange City, FL 32763 Phone: 386-851-5000 Fax: 386-917-5159 |