Dr Timothy H Hartzog, MD | |
273 Grandview Ave, Honesdale, PA 18431-1163 | |
(570) 390-4545 | |
Not Available |
Full Name | Dr Timothy H Hartzog |
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Gender | Male |
Speciality | Pediatrics |
Location | 273 Grandview Ave, Honesdale, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053336321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD459676 (Pennsylvania) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | North Carolina Group Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629415914 PECOS PAC ID: 4789827254 Enrollment ID: O20130830000807 |
Mailing Address | Practice Location Address |
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Dr Timothy H Hartzog, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Dr Timothy H Hartzog, MD 273 Grandview Ave, Honesdale, PA 18431-1163 Ph: (570) 390-4545 |
Dr. Meredith Lynne Hellstern, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1837 Fair Ave, Honesdale, PA 18431 Phone: 570-253-5838 Fax: 570-253-6678 | |
Dr. Paul M Diamond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1837 Fair Ave, Honesdale, PA 18431 Phone: 570-253-5838 Fax: 570-253-1245 | |
Ms. Melissa Lyn Jones, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1831 Fair Ave, Honesdale, PA 18431 Phone: 570-253-5838 |