Charles Wayne Hartzog Jr, MD | |
4294 Lomac St, Montgomery, AL 36106-3604 | |
(334) 274-9000 | |
(334) 274-0857 |
Full Name | Charles Wayne Hartzog Jr |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 33 Years |
Location | 4294 Lomac St, Montgomery, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952388050 | NPI | - | NPPES |
000032697 | Medicaid | AL | |
000032885 | Medicaid | AL | |
200028175 | Other | RR MEDICARE | |
6455 | Other | NCC/TYNET | |
940627 | Other | FIRST HEALTH | |
0910085 | Other | UNITED HEALTHCARE | |
551322 | Other | PRIME HEALTH | |
5977258 | Other | AETNA | |
51032697 | Other | BLUE CROSS | |
51032885 | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 20880 (Alabama) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 20880 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson Hospital & Clinic Inc | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hughston Clinic Pc | 1355254780 | 99 |
Entity Name | Hughston Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164461190 PECOS PAC ID: 1355254780 Enrollment ID: O20040102000796 |
Entity Name | Alabama Orthopaedic Specialists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033267471 PECOS PAC ID: 4688573934 Enrollment ID: O20050829000443 |
Mailing Address | Practice 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 |
Dr. Alfred Gianni Ricci, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2257 Taylor Rd, Montgomery, AL 36117 Phone: 334-245-6605 | |
Dr. Wilburn Anthony Smith, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2023 Normandie Dr, Montgomery, AL 36111 Phone: 334-281-6363 Fax: 334-284-4253 | |
James H Armstrong Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 454 Taylor Rd, Montgomery, AL 36117 Phone: 334-613-9000 Fax: 334-532-0056 | |
Charles T. Fletcher Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 454 Taylor Rd, Montgomery, AL 36117 Phone: 334-613-9000 Fax: 334-532-0056 | |
Edward Eaton Palmer Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4294 Lomac St, Montgomery, AL 36106 Phone: 334-274-9000 Fax: 334-274-0857 | |
Donald Davis Thornbury Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4294 Lomac St, Montgomery, AL 36106 Phone: 334-274-8000 Fax: 334-274-0857 | |
Dr. David W Scott, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Road, (central Al Veterans Health Care System, Montgomery, AL 36109 Phone: 334-749-8303 Fax: 334-745-5243 |