Harley Hendrix, MD is a medicare enrolled "Family Medicine" physician in Pembroke, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sjc Medical Group Inc and his current practice location is
159 W. Railroad Street, Pembroke, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 653-2897.
Harley Hendrix is licensed to practice in Georgia (license number 82114) 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 1003265836.
Physician's Profile
| Full Name | Harley Hendrix |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 8 Years |
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| Location | 159 W. Railroad Street, Pembroke, Georgia |
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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:
- Harley Hendrix attended and graduated from Medical College Of Georgia School Of Medicine in 2016
NPI Data:
- NPI Number: 1003265836
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 08/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779871207
- Enrollment ID: I20191014001661
Medical Identifiers
Medical identifiers for Harley Hendrix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003265836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | LL39508 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 82114 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sjc Medical Group Inc | 7719978105 | 49 |
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. Harley Hendrix allows following entities to bill medicare on his behalf.
| Entity Name | Sjc Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811233828
PECOS PAC ID: 7719978105
Enrollment ID: O20040524000690 |
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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. Harley Hendrix 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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Harley Hendrix, MD
836 E. 65th Street, Suite 22,
Savannah, GA 31405
Ph: (912) 819-7878 | Harley Hendrix, MD
159 W. Railroad Street,
Pembroke, GA 31321
Ph: (912) 653-2897 |
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