Dr Santrell Denise Hart-moreland, OD,MPH is a medicare enrolled "Optometrist" provider in Ellenwood, Georgia. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Elevated Eye Care Inc and her current practice location is
158 Fairview Rd, Suite B, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 289-5835.
Dr Santrell Denise Hart-moreland is licensed to practice in Georgia (license number 001761) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376613968.
Healthcare Provider's Profile
| Full Name | Dr Santrell Denise Hart-moreland |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 25 Years |
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| Location | 158 Fairview Rd, Ellenwood, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Santrell Denise Hart-moreland graduated from medical school in 1999
NPI Data:
- NPI Number: 1376613968
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 11/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 2567502156
- Enrollment ID: I20091211000458
Medical Identifiers
Medical identifiers for Dr Santrell Denise Hart-moreland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376613968 | NPI | - | NPPES |
| 00832818B | Medicaid | GA | |
| 00832818C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 001761 (Georgia) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 001761 (Georgia) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 001761 (Georgia) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | 1761 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Elevated Eye Care Inc | 1254471857 | 2 |
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. Dr Santrell Denise Hart-moreland allows following entities to bill medicare on her behalf.
| Provider Name | Elevated Eye Care Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1730332370
PECOS PAC ID: 1254471857
Enrollment ID: O20091211000453 |
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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. Dr Santrell Denise Hart-moreland 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 |
|---|
Dr Santrell Denise Hart-moreland, OD,MPH
158 Fairview Rd, Suite B,
Ellenwood, GA 30294-2795
Ph: (678) 289-5835 | Dr Santrell Denise Hart-moreland, OD,MPH
158 Fairview Rd, Suite B,
Ellenwood, GA 30294-2795
Ph: (678) 289-5835 |
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