Ms Alyssa Renee Hartman, in Fort Wayne, IN - Medicare Nurse Practitioner

Ms Alyssa Renee Hartman, is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 3978 New Vision Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 672-4680.

Ms Alyssa Renee Hartman is licensed to practice in Indiana (license number 71009752A) 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 1215571146.

Contact Information

	Ms Alyssa Renee Hartman,
	3978 New Vision Dr, Fort Wayne, IN 46845-1712
	(260) 672-4680
	(260) 458-5836

Map and Direction

Provider's Profile

Full Name	Ms Alyssa Renee Hartman
Gender	Female
Speciality	Nurse Practitioner
Location	3978 New Vision Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215571146
Provider Enumeration Date: 11/04/2019
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1355762675
Enrollment ID: I20200521003073

Medical Identifiers

Medical identifiers for Ms Alyssa Renee Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215571146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71009752A (Indiana)	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. Ms Alyssa Renee Hartman allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552

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. Ms Alyssa Renee Hartman 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
Ms Alyssa Renee Hartman, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Ms Alyssa Renee Hartman, 3978 New Vision Dr, Fort Wayne, IN 46845-1712 Ph: (260) 672-4680

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Ms Alyssa Renee Hartman, - Medicare Nurse Practitioner in Fort Wayne, IN