Mr Jason Lamarr Hardin, MSN, APRN, AGNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Charlotte, North Carolina. His current practice location is
6010 E W T Harris Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 208-4134.
Mr Jason Lamarr Hardin is licensed to practice in North Carolina (license number 5011129) 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 1932675758.
Physician's Profile
| Full Name | Mr Jason Lamarr Hardin |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6010 E W T Harris Blvd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932675758
- Provider Enumeration Date: 10/18/2018
- Last Update Date: 03/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264762012
- Enrollment ID: I20190923000809
Medical Identifiers
Medical identifiers for Mr Jason Lamarr Hardin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932675758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0200X | Internal Medicine - Infectious Disease | 5011129 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5011129 (North Carolina) | 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. Mr Jason Lamarr Hardin allows following entities to bill medicare on his behalf.
| Entity Name | Amity Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003301300
PECOS PAC ID: 7618205980
Enrollment ID: O20190823002238 |
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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. Mr Jason Lamarr Hardin 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 |
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Mr Jason Lamarr Hardin, MSN, APRN, AGNP-C
6010 E W T Harris Blvd,
Charlotte, NC 28215-4084
Ph: (704) 208-4134 | Mr Jason Lamarr Hardin, MSN, APRN, AGNP-C
6010 E W T Harris Blvd,
Charlotte, NC 28215-4084
Ph: (704) 208-4134 |
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