Mindy Jo Hartwig, is a medicare enrolled "Nurse Practitioner - Family" in Moweaqua, Illinois. Her current practice location is
620 N Putnam St, Moweaqua, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 528-7541.
Mindy Jo Hartwig is licensed to practice in Illinois (license number 209-031423) 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 1730984345.
Provider's Profile
| Full Name | Mindy Jo Hartwig |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 620 N Putnam St, Moweaqua, Illinois |
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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: 1730984345
- Provider Enumeration Date: 02/17/2025
- Last Update Date: 03/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658894423
- Enrollment ID: I20250402001628
Medical Identifiers
Medical identifiers for Mindy Jo Hartwig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730984345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209-031423 (Illinois) | 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. Mindy Jo Hartwig allows following entities to bill medicare on her behalf.
| Entity Name | Springfield Clinic, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
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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. Mindy Jo Hartwig 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 |
Mindy Jo Hartwig, Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Mindy Jo Hartwig, 620 N Putnam St, Moweaqua, IL 62550-9482 Ph: (217) 528-7541 |
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