Tina L Hathaway, in Statesboro, GA - Medicare Nurse Practitioner

Tina L Hathaway, is a medicare enrolled "Nurse Practitioner - Adult Health" in Statesboro, Georgia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice East Georgia Hma Physician Management Llc and her current practice location is 114 Hill Pond Ln, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 681-6944.

Tina L Hathaway is licensed to practice in Georgia (license number RN165131) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023529914.

Contact Information

	Tina L Hathaway,
	114 Hill Pond Ln, Statesboro, GA 30458-0872
	(912) 681-6944
	(912) 681-8744

Map and Direction

Provider's Profile

Full Name	Tina L Hathaway
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	114 Hill Pond Ln, Statesboro, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tina L Hathaway graduated from nursing school in 2017

NPI Data:

NPI Number: 1023529914
Provider Enumeration Date: 10/18/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1355604174
Enrollment ID: I20180409002444

Medical Identifiers

Medical identifiers for Tina L Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023529914	NPI	-	NPPES
RN165131	Other	GA	NURSING LICENSE
RN165131	Other	GA	NURSE PRACTITIONER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN165131 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
East Georgia Regional Medical Center	Statesboro, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Georgia Hma Physician Management Llc	7214068592	31

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. Tina L Hathaway allows following entities to bill medicare on her behalf.

Entity Name	East Georgia Hma Physician Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487983151 PECOS PAC ID: 7214068592 Enrollment ID: O20100630000504

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. Tina L Hathaway 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
Tina L Hathaway, 114 Hill Pond Ln, Statesboro, GA 30458-0872 Ph: (912) 681-6944	Tina L Hathaway, 114 Hill Pond Ln, Statesboro, GA 30458-0872 Ph: (912) 681-6944

Reviews and Comments

Nurse Practitioner Nurses in Statesboro, GA

Jenna Cottrell, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Brannen St, Statesboro, GA 30458 Phone: 912-871-6611
Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090

Tina L Hathaway, - Medicare Nurse Practitioner in Statesboro, GA