MEDICARE: JOHN W HATCHETT MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	13606	OK
2	315D00000X	Inpatient Hospice	13606	OK
3	251G00000X	Community Based Hospice Care Agency	13606	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942480405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN W HATCHETT MD PC

Provider Business Mailing Address
First Line	:	501 E 5TH ST STE A
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003-3942
Country	:	US
Telephone Number	:	918-335-2900
Fax Number	:	918-213-4989

Provider Business Practice Location Address
First Line	:	501 E 5TH ST STE A
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003-3942
Country	:	US
Telephone Number	:	918-335-2900
Fax Number	:	918-213-4989

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	EVELYN A KENNEDY
Credential	:
Telephone Number	:	918-335-2900

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	03/17/2018

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