Stevan Hartman, is a medicare enrolled "Family Medicine" physician in Mount Hope, West Virginia. His current practice location is
105 Lroquois Lane, Mount Hope, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(456) 465-6456.
Stevan Hartman is licensed to practice in Tennessee (license number 5237) 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 1720604689.
Physician's Profile
| Full Name | Stevan Hartman |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 105 Lroquois Lane, Mount Hope, West Virginia |
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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: 1720604689
- Provider Enumeration Date: 06/17/2020
- Last Update Date: 04/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153747233
- Enrollment ID: I20230905002018
Medical Identifiers
Medical identifiers for Stevan Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720604689 | NPI | - | NPPES |
| Q083543 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5237 (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. Stevan Hartman allows following entities to bill medicare on his behalf.
| Entity Name | Blount Memorial Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699710194
PECOS PAC ID: 6406844174
Enrollment ID: O20040503000547 |
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| Entity Name | Covenant Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457302010
PECOS PAC ID: 2860305463
Enrollment ID: O20060719000030 |
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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. Stevan Hartman 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 |
|---|
Stevan Hartman,
105 Lroquois Lane,
Mount Hope, WV 25880-5036
Ph: () - | Stevan Hartman,
105 Lroquois Lane,
Mount Hope, WV 25880-5036
Ph: (456) 465-6456 |
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