Lincoln David Hiatt, MD is a medicare enrolled "Family Medicine" physician in Snowflake, Arizona. His current practice location is
590 S Main St, Snowflake, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 536-7519.
Lincoln David Hiatt is licensed to practice in Arizona (license number 70370) 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 1174147342.
Physician's Profile
| Full Name | Lincoln David Hiatt |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 590 S Main St, Snowflake, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174147342
- Provider Enumeration Date: 06/03/2020
- Last Update Date: 08/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537607791
- Enrollment ID: I20240819003290
Medical Identifiers
Medical identifiers for Lincoln David Hiatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174147342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 2019032609 (Missouri) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RS2021-0546 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | 70370 (Arizona) | 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. Lincoln David Hiatt allows following entities to bill medicare on his behalf.
| Entity Name | Summit Healthcare Medical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
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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. Lincoln David Hiatt 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 |
Lincoln David Hiatt, MD 590 S Main St, Snowflake, AZ 85937-5228 Ph: (928) 536-7519 | Lincoln David Hiatt, MD 590 S Main St, Snowflake, AZ 85937-5228 Ph: (928) 536-7519 |
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