| John Hardisty, MS, PA-C | |
|
1201 7th St Se, Decatur, AL 35601-3337 | |
| (256) 341-3328 | |
| (256) 341-2605 |
| Full Name | John Hardisty |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1201 7th St Se, Decatur, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689097099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | TA.1771 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penrose Hospital | Colorado springs, CO | Hospital |
| St. Catherine Hospital - Garden City | Garden city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usacs Observation Medicine Services Of Colorado Inc. | 9133498074 | 73 |
| Entity Name | Usacs of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
| Entity Name | Colorado Springs Pulmonary Consultants PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528269099 PECOS PAC ID: 6305838434 Enrollment ID: O20040331000239 |
| Entity Name | Usacs Observation Medicine Services of Colorado Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518491232 PECOS PAC ID: 9133498074 Enrollment ID: O20170707002144 |
| Mailing Address | Practice Location Address |
|---|---|
| John Hardisty, MS, PA-C 177 Ross Dr, Mountain Brk, AL 35213-2547 Ph: (205) 705-9178 | John Hardisty, MS, PA-C 1201 7th St Se, Decatur, AL 35601-3337 Ph: (256) 341-3328 |
Mr. Phillip Shannon Farris, PA-C, MPAS. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362 |
Melea Lenore Mullican, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1107 14th Ave Se Ste 200, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135 |
Mrs. Katherine Mclaurin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 7th St Se, Decatur, AL 35601 Phone: 256-341-2606 |
Aseel Dawood Hajazin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135 |
Angela Eady, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2506a Danville Rd Sw Ste 103, Decatur, AL 35603 Phone: 256-301-9749 Fax: 256-301-9753 |
Mary Nalan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135 |
Lauren Fitch, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 408 7th Ave Nw, Decatur, AL 35601 Phone: 256-616-9437 |