Dr Ryan Glenn Hartig, MD in Fort Wayne, IN

Dr Ryan Glenn Hartig, MD is a medicare enrolled "General Practice" physician in Fort Wayne, Indiana. His current practice location is 4666 W Jefferson Blvd Ste 170, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 207-4137.

Dr Ryan Glenn Hartig is licensed to practice in Indiana (license number 01076905A) 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 1053747741.

Contact Information

	Dr Ryan Glenn Hartig, MD
	4666 W Jefferson Blvd Ste 170, Fort Wayne, IN 46804-6893
	(260) 207-4137
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ryan Glenn Hartig
Gender	Male
Speciality	General Practice
Location	4666 W Jefferson Blvd Ste 170, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053747741
Provider Enumeration Date: 09/25/2013
Last Update Date: 02/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1456647924
Enrollment ID: I20160908002839

Medical Identifiers

Medical identifiers for Dr Ryan Glenn Hartig such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053747741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	01076905A (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 Ryan Glenn Hartig allows following entities to bill medicare on his behalf.

Entity Name	Fort Wayne Endocrinology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285786111 PECOS PAC ID: 9234104720 Enrollment ID: O20040828000033

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 Ryan Glenn Hartig 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 Ryan Glenn Hartig, MD 4666 W Jefferson Blvd Ste 170, Fort Wayne, IN 46804-6893 Ph: () -	Dr Ryan Glenn Hartig, MD 4666 W Jefferson Blvd Ste 170, Fort Wayne, IN 46804-6893 Ph: (260) 207-4137

Reviews and Comments

General Practice Doctors in Fort Wayne, IN

Dr. Todd Frazier, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5500 Fax: 260-425-5505
William D Goudy, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1900 Carew St Ste 6, Fort Wayne, IN 46805 Phone: 260-266-2500
Andrew Joseph Offerle, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Suite 2121, Fort Wayne, IN 46804 Phone: 260-485-3300 Fax: 260-407-8004
John Addo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2622 Lake Ave, Fort Wayne, IN 46805 Phone: 260-425-3100 Fax: 260-425-3604

Dr Ryan Glenn Hartig, MD - Medicare General Practice in Fort Wayne, IN