Dr David L Hurley, MD in Columbia City, IN - Medicare Emergency Medicine

Dr David L Hurley, MD is a medicare enrolled "Emergency Medicine" physician in Columbia City, Indiana. His current practice location is 1260 E State Road 205, Columbia City, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 248-9411.

Dr David L Hurley is licensed to practice in Indiana (license number 01031922) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801879986.

Contact Information

	Dr David L Hurley, MD
	1260 E State Road 205, Columbia City, IN 46725-9492
	(260) 248-9411
	(260) 248-9135

Map and Direction

Physician's Profile

Full Name	Dr David L Hurley
Gender	Male
Speciality	Emergency Medicine
Location	1260 E State Road 205, Columbia City, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801879986
Provider Enumeration Date: 11/22/2005
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6800869587
Enrollment ID: I20040819000889

Medical Identifiers

Medical identifiers for Dr David L Hurley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801879986	NPI	-	NPPES
2517057	Medicaid	OH
000000082543	Other	IN	ANTHEM
104874516	Medicaid	MI
000000010122	Other		MPLAN
100263130	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01031922 (Indiana)	Primary

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 David L Hurley allows following entities to bill medicare on his behalf.

Entity Name	Professional Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999

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 David L Hurley 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 David L Hurley, MD 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 Ph: (260) 482-5091	Dr David L Hurley, MD 1260 E State Road 205, Columbia City, IN 46725-9492 Ph: (260) 248-9411

Reviews and Comments

Emergency Medicine Doctors in Columbia City, IN

Jaime R Hajjari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 E State Road 205, Columbia City, IN 46725 Phone: 260-248-9000 Fax: 260-482-4442
Dr. Kathleen B Baeverstad, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 N Oak St, Columbia City, IN 46725 Phone: 260-248-9000

Dr David L Hurley, MD - Medicare Emergency Medicine in Columbia City, IN