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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