Henry Renick Hartsoe, DO - Medicare Family Medicine in Mountain City, TN

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Henry Renick Hartsoe, DO is a medicare enrolled "Family Medicine" physician in Mountain City, Tennessee. His current practice location is 1901 S Shady St, Mountain City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 727-1100.

Henry Renick Hartsoe is licensed to practice in Tennessee (license number 5715) 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 1609455880.

Contact Information

Henry Renick Hartsoe, DO
1901 S Shady St,
Mountain City, TN 37683-2021
(423) 727-1100
Not Available

Map and Direction




Physician's Profile

Full NameHenry Renick Hartsoe
GenderMale
SpecialityFamily Medicine
Location1901 S Shady St, Mountain City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609455880
  • Provider Enumeration Date: 04/06/2021
  • Last Update Date: 08/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941748743
  • Enrollment ID: I20240812001882

Medical Identifiers

Medical identifiers for Henry Renick Hartsoe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609455880NPI-NPPES
113764317OtherTNDRIVER LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine NA (Virginia)Secondary
207Q00000XFamily Medicine 5715 (Tennessee)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. Henry Renick Hartsoe allows following entities to bill medicare on his behalf.
Entity NameMountain States Health Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205846508
PECOS PAC ID: 6002726718
Enrollment ID: O20040415001070
Entity NameShc Medical Partners Of Tennessee, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609051895
PECOS PAC ID: 1951487826
Enrollment ID: O20080318000852
Entity NameAbode Care Partners Ltc Vb, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972372225
PECOS PAC ID: 8325316516
Enrollment ID: O20240129001302
Entity NameAbode Care Partners Al Vb Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518736834
PECOS PAC ID: 1658403704
Enrollment ID: O20240201000465

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. Henry Renick Hartsoe 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
Henry Renick Hartsoe, DO
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565		Henry Renick Hartsoe, DO
1901 S Shady St,
Mountain City, TN 37683-2021

Ph: (423) 727-1100

Reviews and Comments


Family Medicine Doctors in Mountain City, TN

James W Shine, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1901 S Shady St, Mountain City, TN 37683
Phone: 423-727-1103    Fax: 423-727-1140
Cristy Gillespie Lee, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1901 S Shady St, Mountain City, TN 37683
Phone: 423-926-6266    Fax: 423-926-7599
Dr. Floyd James Barker Ii, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 132 W Main St, Mountain City, TN 37683
Phone: 423-727-4561    Fax: 423-727-4556
Susanne Mayer Shine, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1901 S Shady St, Mountain City, TN 37683
Phone: 423-727-1103    Fax: 423-727-1140
Donna F Gibson-hughes, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 251 Sprucey Ln, Mountain City, TN 37683
Phone: 423-727-1621    Fax: 423-727-1621
Heather Newman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 Oak St, Mountain City, TN 37683
Phone: 423-727-6319    Fax: 423-727-4164

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.