Dr Earl Barrett Hartzog, DMD is a medicare enrolled "Dentist" provider in Denmark, South Carolina. His current practice location is
174 Beech Ave, Denmark, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 793-3653.
Dr Earl Barrett Hartzog is licensed to practice in South Carolina (license number 4591) 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 1881820637.
Healthcare Provider's Profile
| Full Name | Dr Earl Barrett Hartzog |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 174 Beech Ave, Denmark, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881820637
- Provider Enumeration Date: 06/08/2009
- Last Update Date: 03/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 7810114634
- Enrollment ID: I20140818002352
Medical Identifiers
Medical identifiers for Dr Earl Barrett Hartzog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881820637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 4591 (South Carolina) | Primary |
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. Dr Earl Barrett Hartzog 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 |
|---|
Dr Earl Barrett Hartzog, DMD
174 Beech Ave,
Denmark, SC 29042
Ph: (803) 793-3653 | Dr Earl Barrett Hartzog, DMD
174 Beech Ave,
Denmark, SC 29042
Ph: (803) 793-3653 |
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