Mrs Autumn M Hultz, PA-C - Medicare Physician Assistant in Fayette City, PA

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Mrs Autumn M Hultz, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fayette City, Pennsylvania. Her current practice location is 1109 2nd St, Fayette City, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 797-3374.

Mrs Autumn M Hultz is licensed to practice in Pennsylvania (license number MA054618) 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 1639488067.

Contact Information

Mrs Autumn M Hultz, PA-C
1109 2nd St,
Fayette City, PA 15438-1033
(724) 797-3374
Not Available

Map and Direction




Provider's Profile

Full NameMrs Autumn M Hultz
GenderFemale
SpecialityPhysician Assistant - Medical
Location1109 2nd St, Fayette City, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639488067
  • Provider Enumeration Date: 10/04/2010
  • Last Update Date: 10/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062698947
  • Enrollment ID: I20110510000356

Medical Identifiers

Medical identifiers for Mrs Autumn M Hultz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639488067NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical MA054618 (Pennsylvania)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. Mrs Autumn M Hultz allows following entities to bill medicare on her behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20040616000762
Entity NameSignify Health Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191216001523

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. Mrs Autumn M Hultz 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 AddressPractice Location Address
Mrs Autumn M Hultz, PA-C
120 5th Ave,
Pittsburgh, PA 15222-3000

Ph: (844) 438-3226		Mrs Autumn M Hultz, PA-C
1109 2nd St,
Fayette City, PA 15438-1033

Ph: (724) 797-3374

Reviews and Comments


Physician Assistant Nurses in Fayette City, PA

Nicolena Marie Matthews,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 429 Newell Rd, Fayette City, PA 15438
Phone: 724-317-8941    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.