Chad Edward Hartley, MD is a medicare enrolled "Neurological Surgery" physician in Lake Havasu City, Arizona. He went to University Of Colorado School Of Medicine, Denver and graduated in 2001 and has 23 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Panacea Brain And Spine Llc, Paragon Physical Therapy And Rehab Llc and his current practice location is
72 Lake Havasu Ave S Ste 102, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 453-2211.
Chad Edward Hartley is licensed to practice in Arizona (license number 46605) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457513749.
Physician's Profile
| Full Name | Chad Edward Hartley |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 23 Years |
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| Location | 72 Lake Havasu Ave S Ste 102, Lake Havasu City, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chad Edward Hartley attended and graduated from University Of Colorado School Of Medicine, Denver in 2001
NPI Data:
- NPI Number: 1457513749
- Provider Enumeration Date: 06/27/2008
- Last Update Date: 06/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365517760
- Enrollment ID: I20121228000186
Medical Identifiers
Medical identifiers for Chad Edward Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457513749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | 46605 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Panacea Brain And Spine Llc | 0648423525 | 2 |
| Paragon Physical Therapy And Rehab Llc | 4284902339 | 55 |
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. Chad Edward Hartley allows following entities to bill medicare on his behalf.
| Entity Name | Panacea Brain And Spine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457622763
PECOS PAC ID: 0648423525
Enrollment ID: O20121228000141 |
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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. Chad Edward Hartley 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 |
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Chad Edward Hartley, MD
72 Lake Havasu Ave S Ste 102,
Lake Havasu City, AZ 86403-0857
Ph: (928) 453-2211 | Chad Edward Hartley, MD
72 Lake Havasu Ave S Ste 102,
Lake Havasu City, AZ 86403-0857
Ph: (928) 453-2211 |
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