Mr Jackie Dale Hatten Jr, ARNP in Tampa, FL - Medicare Nurse Practitioner

Mr Jackie Dale Hatten Jr, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Tampa, Florida. His current practice location is 500 N West Shore Blvd Ste 635, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 513-9493.

Mr Jackie Dale Hatten Jr is licensed to practice in Florida (license number ARNP3419772) 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 1639607732.

Contact Information

	Mr Jackie Dale Hatten Jr, ARNP
	500 N West Shore Blvd Ste 635, Tampa, FL 33609-1910
	(813) 513-9493
	(904) 562-3317

Map and Direction

Provider's Profile

Full Name	Mr Jackie Dale Hatten Jr
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	500 N West Shore Blvd Ste 635, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639607732
Provider Enumeration Date: 06/01/2017
Last Update Date: 10/04/2018

Medicare PECOS Information:

PECOS PAC ID: 7113286980
Enrollment ID: I20180124001798

Medical Identifiers

Medical identifiers for Mr Jackie Dale Hatten Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639607732	NPI	-	NPPES
1639607732	Other	FL	EMPLOYER DOSE NOT TAKE INSURANCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	ARNP3419772 (Florida)	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. Mr Jackie Dale Hatten Jr allows following entities to bill medicare on his behalf.

Entity Name	Digestive Diseases Care For All Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346484565 PECOS PAC ID: 3870632490 Enrollment ID: O20091120000116

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. Mr Jackie Dale Hatten Jr 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
Mr Jackie Dale Hatten Jr, ARNP 500 N West Shore Blvd Ste 635, Tampa, FL 33609-1910 Ph: (813) 513-9493	Mr Jackie Dale Hatten Jr, ARNP 500 N West Shore Blvd Ste 635, Tampa, FL 33609-1910 Ph: (813) 513-9493

Reviews and Comments

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Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
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Mr Jackie Dale Hatten Jr, ARNP - Medicare Nurse Practitioner in Tampa, FL