Charles Wayne Hartzog Jr, MD in Montgomery, AL

Charles Wayne Hartzog Jr, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Montgomery, Alabama. He went to University Of Alabama School Of Medicine and graduated in 1991 and has 34 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Hughston Clinic Pc and his current practice location is 4294 Lomac St, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 274-9000.

Charles Wayne Hartzog Jr is licensed to practice in Alabama (license number 20880) 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 1952388050.

Contact Information

	Charles Wayne Hartzog Jr, MD
	4294 Lomac St, Montgomery, AL 36106-3604
	(334) 274-9000
	(334) 274-0857

Map and Direction

Physician's Profile

Full Name	Charles Wayne Hartzog Jr
Gender	Male
Speciality	Sports Medicine
Experience	34 Years
Location	4294 Lomac St, Montgomery, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Wayne Hartzog Jr attended and graduated from University Of Alabama School Of Medicine in 1991

NPI Data:

NPI Number: 1952388050
Provider Enumeration Date: 12/29/2005
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 8527139047
Enrollment ID: I20100318000017

Medical Identifiers

Medical identifiers for Charles Wayne Hartzog Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952388050	NPI	-	NPPES
000032697	Medicaid	AL
000032885	Medicaid	AL
200028175	Other		RR MEDICARE
6455	Other		NCC/TYNET
940627	Other		FIRST HEALTH
0910085	Other		UNITED HEALTHCARE
551322	Other		PRIME HEALTH
5977258	Other		AETNA
51032697	Other		BLUE CROSS
51032885	Other		BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	20880 (Alabama)	Secondary
207XX0005X	Orthopaedic Surgery - Sports Medicine	20880 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson Hospital & Clinic Inc	Montgomery, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hughston Clinic Pc	1355254780	110

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. Charles Wayne Hartzog Jr allows following entities to bill medicare on his behalf.

Entity Name	Hughston Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164461190 PECOS PAC ID: 1355254780 Enrollment ID: O20040102000796

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. Charles Wayne Hartzog Jr 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
Charles Wayne Hartzog Jr, MD Po Box 370, Fortson, GA 31808-0370 Ph: () -	Charles Wayne Hartzog Jr, MD 4294 Lomac St, Montgomery, AL 36106-3604 Ph: (334) 274-9000

Reviews and Comments

Orthopaedic Surgery Doctors in Montgomery, AL

Dr. Alfred Gianni Ricci, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2257 Taylor Rd, Montgomery, AL 36117 Phone: 334-245-6605
Dr. Wilburn Anthony Smith, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2023 Normandie Dr, Montgomery, AL 36111 Phone: 334-281-6363 Fax: 334-284-4253
James H Armstrong Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 454 Taylor Rd, Montgomery, AL 36117 Phone: 334-613-9000 Fax: 334-532-0056
Charles T. Fletcher Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 454 Taylor Rd, Montgomery, AL 36117 Phone: 334-613-9000 Fax: 334-532-0056
Edward Eaton Palmer Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4294 Lomac St, Montgomery, AL 36106 Phone: 334-274-9000 Fax: 334-274-0857
Donald Davis Thornbury Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4294 Lomac St, Montgomery, AL 36106 Phone: 334-274-8000 Fax: 334-274-0857
Dr. David W Scott, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Road, (central Al Veterans Health Care System, Montgomery, AL 36109 Phone: 334-749-8303 Fax: 334-745-5243

Charles Wayne Hartzog Jr, MD - Medicare Sports Medicine in Montgomery, AL