Jerry Douglas Hartman, in Mount Vernon, OH - Medicare Social Worker Provider

Jerry Douglas Hartman, is a medicare enrolled "Social Worker - Clinical" provider in Mount Vernon, Ohio. His current practice location is 17606 Coshocton Rd, Mount Vernon, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 397-0533.

Jerry Douglas Hartman is licensed to practice in Ohio (license number I 9430) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184811127.

Contact Information

	Jerry Douglas Hartman,
	17606 Coshocton Rd, Mount Vernon, OH 43050-9218
	(740) 397-0533
	(740) 397-1368

Map and Direction

Healthcare Provider's Profile

Full Name	Jerry Douglas Hartman
Gender	Male
Speciality	Social Worker - Clinical
Location	17606 Coshocton Rd, Mount Vernon, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184811127
Provider Enumeration Date: 10/03/2007
Last Update Date: 10/03/2007

Medicare PECOS Information:

PECOS PAC ID: 5799917456
Enrollment ID: I20230323001584

Medical Identifiers

Medical identifiers for Jerry Douglas Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184811127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I 9430 (Ohio)	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. Jerry Douglas Hartman allows following entities to bill medicare on his behalf.

Entity Name	Medella Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003534843 PECOS PAC ID: 4486028933 Enrollment ID: O20230323001453

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. Jerry Douglas 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
Jerry Douglas Hartman, 2803 Akron Rd, Wooster, OH 44691-7904 Ph: (330) 264-3232	Jerry Douglas Hartman, 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 Ph: (740) 397-0533

Reviews and Comments

Social Worker in Mount Vernon, OH

Ms. Cara M Glaze, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1095 Harcourt Rd, Mount Vernon, OH 43050 Phone: 740-848-1010
Mrs. Judy M Wilson, MSW/LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8402 Blackjack Road Ext, Mount Vernon, OH 43050 Phone: 740-397-0442 Fax: 740-392-1814
Mrs. Leslie Nicole Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17606 Coshocton Rd, Mount Vernon, OH 43050 Phone: 740-397-7568 Fax: 740-397-1368
Darlene Lynn Kurth, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8402 Blackjack Rd, Mount Vernon, OH 43050 Phone: 740-397-0442
Della Ellinger, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7145 Johnstown Rd, Mount Vernon, OH 43050 Phone: 740-504-8097
Jeanette M Pelton, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 217 E Chestnut St Unit A, Mount Vernon, OH 43050 Phone: 740-392-3111 Fax: 740-392-3182

Jerry Douglas Hartman, - Medicare Clinical Social Worker in Mount Vernon, OH