Amy Kathryn Hartline, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Rydal, Georgia. Her current practice location is
11 Paddock Ln, Rydal, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 595-5570.
Amy Kathryn Hartline is licensed to practice in Georgia (license number RN218459) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730630666.
Provider's Profile
| Full Name | Amy Kathryn Hartline |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 11 Paddock Ln, Rydal, Georgia |
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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: 1730630666
- Provider Enumeration Date: 10/14/2016
- Last Update Date: 01/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234411596
- Enrollment ID: I20170120001469
Medical Identifiers
Medical identifiers for Amy Kathryn Hartline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730630666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | RN218459 (Georgia) | 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. Amy Kathryn Hartline allows following entities to bill medicare on her behalf.
| Entity Name | Physicians Spine And Rehab Specialists Of Ga |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710946322 PECOS PAC ID: 6002700960 Enrollment ID: O20040211000575 |
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| Entity Name | South Georgia Radiology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
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| Entity Name | Blue Ridge Hospice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427641067 PECOS PAC ID: 0749699072 Enrollment ID: O20211015000702 |
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| Entity Name | Truwell Healthcare Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386451367 PECOS PAC ID: 6800317132 Enrollment ID: O20250304000384 |
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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. Amy Kathryn Hartline 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 |
Amy Kathryn Hartline, AGACNP-BC 11 Paddock Ln, Rydal, GA 30171-1432 Ph: (770) 595-5570 | Amy Kathryn Hartline, AGACNP-BC 11 Paddock Ln, Rydal, GA 30171-1432 Ph: (770) 595-5570 |
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