Martin Hatzke, in San Jose, CA - Medicare Dentist Provider

Martin Hatzke, is a medicare enrolled "Dentist" provider in San Jose, California. His current practice location is 5595 Winfield Blvd, Suite 210, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 224-1333.

Martin Hatzke is licensed to practice in California (license number 29152) 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 1093115537.

Contact Information

	Martin Hatzke,
	5595 Winfield Blvd, Suite 210, San Jose, CA 95123-1220
	(408) 224-1333
	(408) 224-4192

Healthcare Provider's Profile

Full Name	Martin Hatzke
Gender	Male
Speciality	Dentist
Location	5595 Winfield Blvd, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093115537
Provider Enumeration Date: 09/03/2014
Last Update Date: 09/03/2014

Medicare PECOS Information:

PECOS PAC ID: 4789970161
Enrollment ID: I20160912000765

Medical Identifiers

Medical identifiers for Martin Hatzke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093115537	NPI	-	NPPES
1669584355	Other	CA	NPI - ORGANIZATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	29152 (California)	Primary

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. Martin Hatzke 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
Martin Hatzke, 5595 Winfield Blvd, Suite 210, San Jose, CA 95123-1220 Ph: () -	Martin Hatzke, 5595 Winfield Blvd, Suite 210, San Jose, CA 95123-1220 Ph: (408) 224-1333

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Martin Hatzke, - Medicare Dentist in San Jose, CA