Charles Wayne Hartzog Jr, MD - Medicare Sports Medicine in Montgomery, AL

Charles Wayne Hartzog Jr, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Montgomery, Alabama. He went to University Of Alabama School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Hughston Clinic Pc and his current practice location is 4294 Lomac St, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 274-9000.

Charles Wayne Hartzog Jr is licensed to practice in Alabama (license number 20880) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952388050.

Contact Information

Charles Wayne Hartzog Jr, MD
4294 Lomac St,
Montgomery, AL 36106-3604
(334) 274-9000
(334) 274-0857

Map and Direction




Physician's Profile

Full NameCharles Wayne Hartzog Jr
GenderMale
SpecialitySports Medicine
Experience33 Years
Location4294 Lomac St, Montgomery, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Wayne Hartzog Jr attended and graduated from University Of Alabama School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1952388050
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527139047
  • Enrollment ID: I20100318000017

Medical Identifiers

Medical identifiers for Charles Wayne Hartzog Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952388050NPI-NPPES
000032697MedicaidAL
000032885MedicaidAL
200028175OtherRR MEDICARE
6455OtherNCC/TYNET
940627OtherFIRST HEALTH
0910085OtherUNITED HEALTHCARE
551322OtherPRIME HEALTH
5977258OtherAETNA
51032697OtherBLUE CROSS
51032885OtherBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 20880 (Alabama)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 20880 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson Hospital & Clinic IncMontgomery, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hughston Clinic Pc135525478099

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. Charles Wayne Hartzog Jr allows following entities to bill medicare on his behalf.
Entity NameHughston Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164461190
PECOS PAC ID: 1355254780
Enrollment ID: O20040102000796
Entity NameAlabama Orthopaedic Specialists Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033267471
PECOS PAC ID: 4688573934
Enrollment ID: O20050829000443

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. Charles Wayne Hartzog Jr 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
Charles Wayne Hartzog Jr, MD
Po Box 370,
Fortson, GA 31808-0370

Ph: () -
Charles Wayne Hartzog Jr, MD
4294 Lomac St,
Montgomery, AL 36106-3604

Ph: (334) 274-9000

Reviews and Comments


Orthopaedic Surgery Doctors in Montgomery, AL

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Edward Eaton Palmer Jr., MD
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Donald Davis Thornbury Jr., MD
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Dr. David W Scott, M.D.
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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).

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