Dr Edgar O Hartle, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Mooresville, North Carolina. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1981 and has 43 years of diverse experience with area of expertise as Pathology. He is a member of the group practice L A Lorenzo Md Pathology Consult Services P A and his current practice location is
171 Fairview Rd, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 660-4512.
Dr Edgar O Hartle is licensed to practice in North Carolina (license number 26934) 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 1194789578.
Physician's Profile
| Full Name | Dr Edgar O Hartle |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 43 Years |
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| Location | 171 Fairview Rd, Mooresville, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Edgar O Hartle attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1981
NPI Data:
- NPI Number: 1194789578
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375644339
- Enrollment ID: I20110125000173
Medical Identifiers
Medical identifiers for Dr Edgar O Hartle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194789578 | NPI | - | NPPES |
| 1227P | Other | NC | BCBS |
| 26934 | Other | NC | NC MEDICAL LICENSE # |
| 891227P | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 26934 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| L A Lorenzo Md Pathology Consult Services P A | 8921109984 | 2 |
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. Dr Edgar O Hartle allows following entities to bill medicare on his behalf.
| Entity Name | L A Lorenzo Md Pathology Consult Services P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144283888
PECOS PAC ID: 8921109984
Enrollment ID: O20070720000830 |
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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 Edgar O Hartle 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 |
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Dr Edgar O Hartle, MD
Po Box 49009,
Greenwood, SC 29649-0001
Ph: (864) 223-3070 | Dr Edgar O Hartle, MD
171 Fairview Rd,
Mooresville, NC 28117-9500
Ph: (704) 660-4512 |
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