Dr Thomas Hatley, MD - Medicare Emergency Medicine in Carlinville, IL

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Dr Thomas Hatley, MD is a medicare enrolled "Family Medicine" physician in Carlinville, Illinois. He went to Washington University School Of Medicine and graduated in 1988 and has 38 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sanburg Emergency Group, P.c., Carlinville Area Hospital Association and his current practice location is 20613 N Broad St, Carlinville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 368-3114.

Dr Thomas Hatley is licensed to practice in Illinois (license number 036093232) 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 1326073073.

Contact Information

Dr Thomas Hatley, MD
20613 N Broad St,
Carlinville, IL 62626
(217) 368-3114
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas Hatley
GenderMale
SpecialityEmergency Medicine
Experience38 Years
Location20613 N Broad St, Carlinville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Thomas Hatley attended and graduated from Washington University School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1326073073
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 07/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395835227
  • Enrollment ID: I20071217000072

Medical Identifiers

Medical identifiers for Dr Thomas Hatley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326073073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-093232 (Illinois)Secondary
207Q00000XFamily Medicine 036093232 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carlinville Area HospitalCarlinville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanburg Emergency Group, P.c.468800395716
Carlinville Area Hospital Association903202137321

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 Thomas Hatley allows following entities to bill medicare on his behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520
Entity NameCarlinville Area Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1053425124
PECOS PAC ID: 9032021373
Enrollment ID: O20080422000666
Entity NameSanburg Emergency Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992337000
PECOS PAC ID: 4688003957
Enrollment ID: O20200408000461

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 Thomas Hatley 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 AddressPractice Location Address
Dr Thomas Hatley, MD
20613 N Broad St,
Carlinville, IL 62626-3720

Ph: (217) 854-3881		Dr Thomas Hatley, MD
20613 N Broad St,
Carlinville, IL 62626

Ph: (217) 368-3114

Reviews and Comments


Family Medicine Doctors in Carlinville, IL

Dr. Kate Marie Emmerich, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20613 N Broad St Ste B, Carlinville, IL 62626
Phone: 217-854-3881    
Mr. Kamal K Chopra, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 604 N Broad St, Carlinville, IL 62626
Phone: 217-854-9411    Fax: 217-854-2858
Lourdes M Cruz, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 20613 N Broad St, Suite B, Carlinville, IL 62626
Phone: 217-854-3881    Fax: 217-854-3894

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.