Dr Jason Noel Hartis, MD is a medicare enrolled "Emergency Medicine" physician in Upper Chichester, Pennsylvania. His current practice location is
4006 Stirrup Ct, Upper Chichester, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 796-2322.
Dr Jason Noel Hartis is licensed to practice in California (license number C157802) 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 1467615633.
Physician's Profile
Full Name | Dr Jason Noel Hartis |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 4006 Stirrup Ct, Upper Chichester, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467615633
- Provider Enumeration Date: 07/08/2008
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143492405
- Enrollment ID: I20190429002183
Medical Identifiers
Medical identifiers for Dr Jason Noel Hartis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467615633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 25MA08997200 (New Jersey) | Secondary |
207P00000X | Emergency Medicine | C157802 (California) | 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. Dr Jason Noel Hartis allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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 Jason Noel Hartis 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 Jason Noel Hartis, MD 4006 Stirrup Ct, Upper Chichester, PA 19061-2642 Ph: (215) 796-2322 | Dr Jason Noel Hartis, MD 4006 Stirrup Ct, Upper Chichester, PA 19061-2642 Ph: (215) 796-2322 |
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