Mr Shawn Keith Hartzog, LPA is a
Psychologist based in Sylva, North Carolina. Mr Shawn Keith Hartzog is licensed to practice in North Carolina (license number 2262) and his current practice location is
154 Medical Park Loop, Sylva, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(828) 319-1080.
NPI number for Mr Shawn Keith Hartzog is 1629104641 and his current mailing address is 154 Medical Park Loop, Sylva, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629104641.
Healthcare Provider's Profile
| Full Name | Mr Shawn Keith Hartzog |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 154 Medical Park Loop, Sylva, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629104641
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 04/19/2010
Medical Identifiers
Medical identifiers for Mr Shawn Keith Hartzog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629104641 | NPI | - | NPPES |
| 6107428 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 2262 (North Carolina) | Secondary |
| 103T00000X | Psychologist | 2262 (North Carolina) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2262 (North Carolina) | Secondary |
| 103TF0000X | Psychologist - Family | 2262 (North Carolina) | Secondary |
| 103TH0100X | Psychologist - Health Service | 2262 (North Carolina) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 2262 (North Carolina) | Secondary |
| 103TF0200X | Psychologist - Forensic | 2262 (North Carolina) | Secondary |
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. Mr Shawn Keith Hartzog is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Shawn Keith Hartzog, LPA
154 Medical Park Loop,
Sylva, NC 28779-5271
Ph: (828) 319-1080 | Mr Shawn Keith Hartzog, LPA
154 Medical Park Loop,
Sylva, NC 28779-5271
Ph: (828) 319-1080 |
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