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Barry T Hackshaw

Male

Medical Specialty

Cardiovascular Disease cardiology

Professional ID

NPI: 1639139983
PECOS ID: 9133016405
Enrollment ID: I20080509000473
Credential(MD, DO, DPM):
Medical School: Bowman Gray School Of Medicine Of Wake Forest University
Medical School Graduation Year: 1974

Hospital Service

Hospital CCN1: 050573
Business Name (LBN)1: Eisenhower Medical Center
Hospital CCN2: 050279
Business Name (LBN)2: Hi-desert Medical Center

Medical Practices

Organization Name: Eisenhower Medical Center
Group Practice ID assigned by PECOS: 5890689657
Number of Group Practice member: 251

Location

Address1: 39000 Bob Hope Dr
Address2: Fl 1
City: Rancho Mirage
State: California
Zip Code: 92270
Phone Number:

Location

Address1: 39700 Bob Hope Dr
Address2:
City: Rancho Mirage
State: California
Zip Code: 92270
Phone Number: (760)773-2882

Location

Address1: 72201 Country Club Dr
Address2:
City: Rancho Mirage
State: California
Zip Code: 92270
Phone Number: (760)340-5999

Location

Address1: 72780 Country Club Dr
Address2:
City: Rancho Mirage
State: California
Zip Code: 92270
Phone Number:

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):