Garth Howland Harley Jr, MD - Medicare Radiology in Tracy, CA

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Garth Howland Harley Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tracy, California. His current practice location is 1530 Bessie Ave, Suite 108, Tracy, California. You can reach out to his office (for appointments etc.) via phone at (209) 342-2300.

Garth Howland Harley Jr is licensed to practice in California (license number G68992) 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 1194715078.

Contact Information

Garth Howland Harley Jr, MD
1530 Bessie Ave, Suite 108,
Tracy, CA 95376-3080
(209) 342-2300
(209) 524-4240

Map and Direction




Physician's Profile

Full NameGarth Howland Harley Jr
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1530 Bessie Ave, Tracy, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194715078
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 01/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8426032392
  • Enrollment ID: I20041118000274

Medical Identifiers

Medical identifiers for Garth Howland Harley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194715078NPI-NPPES
00G689920OtherCABLUE SHIELD
00G689920MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G68992 (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. Garth Howland Harley Jr allows following entities to bill medicare on his behalf.
Entity NameDignity Health Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803418
PECOS PAC ID: 7810800661
Enrollment ID: O20031107000709
Entity NameBay Imaging Consultants Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356597637
PECOS PAC ID: 9537069125
Enrollment ID: O20040110000189
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameSan Joaquin Faculty Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225063761
PECOS PAC ID: 4082631395
Enrollment ID: O20051026000742

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. Garth Howland Harley 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
Garth Howland Harley Jr, MD
4301 Northstar Way,
Modesto, CA 95356-9262

Ph: (209) 342-2300		Garth Howland Harley Jr, MD
1530 Bessie Ave, Suite 108,
Tracy, CA 95376-3080

Ph: (209) 342-2300

Reviews and Comments


Radiology Doctors in Tracy, CA

Richard Michael Porzio, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1530 Bessie Ave, Ste 108, Tracy, CA 95376
Phone: 209-342-2300    Fax: 209-524-4240
Mario P Sattah, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1530 Bessie Ave, Suite 108, Tracy, CA 95376
Phone: 209-833-2393    Fax: 209-833-2399
Keith Kwok, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1530 North Bessie Avenue, Suite 108, Tracy, CA 95376
Phone: 209-833-2393    
Chull Sung Song, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1530 Bessie Ave, Ste 108, Tracy, CA 95376
Phone: 209-342-2300    Fax: 209-524-4240
Kyle Kai Yu, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1530 Bessie Ave, Ste 108, Tracy, CA 95376
Phone: 209-342-2300    Fax: 209-524-4240
Sam Peter Kokoris, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 1530 Bessie Ave, Ste 108, Tracy, CA 95376
Phone: 209-342-2300    Fax: 209-524-4240

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.