Dr Sally Hartwick, MD is a medicare enrolled "Family Medicine" physician in Afton, New York. She went to State University Of Ny Upstate Medical University and graduated in 2018 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice United Health Services Hospitals, Inc., Endwell Family Physicians Llp and her current practice location is
25 Evergreen St, Afton, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 639-2701.
Dr Sally Hartwick is licensed to practice in New York (license number 308696-01) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275023020.
Physician's Profile
Full Name | Dr Sally Hartwick |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 7 Years |
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Location | 25 Evergreen St, Afton, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Sally Hartwick attended and graduated from State University Of Ny Upstate Medical University in 2018
NPI Data:
- NPI Number: 1275023020
- Provider Enumeration Date: 05/17/2018
- Last Update Date: 08/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668877721
- Enrollment ID: I20210827000660
Medical Identifiers
Medical identifiers for Dr Sally Hartwick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275023020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 308696-01 (New York) | Primary |
Medical Facilities Affiliation
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 Sally Hartwick allows following entities to bill medicare on her behalf.
Entity Name | Endwell Family Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871512947 PECOS PAC ID: 9537063987 Enrollment ID: O20031126000305 |
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Entity Name | United Health Services Hospitals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
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Entity Name | Sally M Hartwick Md, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205410784 PECOS PAC ID: 1759786817 Enrollment ID: O20210827000588 |
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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 Sally Hartwick 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 Sally Hartwick, MD 25 Evergreen St, Afton, NY 13730-2129 Ph: (607) 639-2701 | Dr Sally Hartwick, MD 25 Evergreen St, Afton, NY 13730-2129 Ph: (607) 639-2701 |
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