Daniel Hartley, in Vidalia, GA - Medicare Nurse Practitioner

Daniel Hartley, is a medicare enrolled "Nurse Practitioner" in Vidalia, Georgia. His current practice location is 303 Harris Industrial Blvd Ste 5, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 535-7000.

Daniel Hartley is licensed to practice in Georgia (license number RN216852) 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 1275085508.

Contact Information

	Daniel Hartley,
	303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854
	(912) 535-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Daniel Hartley
Gender	Male
Speciality	Nurse Practitioner
Location	303 Harris Industrial Blvd Ste 5, Vidalia, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275085508
Provider Enumeration Date: 11/03/2016
Last Update Date: 05/21/2021

Medicare PECOS Information:

PECOS PAC ID: 3971884594
Enrollment ID: I20161219002654

Medical Identifiers

Medical identifiers for Daniel Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275085508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN216852 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN216852 (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. Daniel Hartley allows following entities to bill medicare on his behalf.

Entity Name	Georgia Emergency Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528098290 PECOS PAC ID: 1052216389 Enrollment ID: O20031201000427

Entity Name	Hospital Authority Of Candler County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588868947 PECOS PAC ID: 5294623948 Enrollment ID: O20040305000415

Entity Name	Montgomery Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598

Entity Name	Statesboro Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013535657 PECOS PAC ID: 6507285095 Enrollment ID: O20201002000508

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. Daniel Hartley 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
Daniel Hartley, 9768 Saint Mathews Church Rd, Metter, GA 30439-7738 Ph: (912) 682-9600	Daniel Hartley, 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 Ph: (912) 535-7000

Reviews and Comments

Nurse Practitioner Nurses in Vidalia, GA

Mrs. Cindy Ellen Hand, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555
Dana M Avist, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Adams St, Vidalia, GA 30474 Phone: 912-537-1772
Angela Dean Hamilton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 904 Clyde Blvd, Vidalia, GA 30474 Phone: 912-326-3885
Jessi Erica Woods, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355
Santoria Shamika Felton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355
Kimberly Rae Warren, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2203 Ga Highway 130 W, Vidalia, GA 30474 Phone: 912-245-5491
Pate Howell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474 Phone: 912-535-3500 Fax: 912-535-4498

Daniel Hartley, - Medicare Nurse Practitioner in Vidalia, GA