Mr William Glenn Hardeman Jr, DO in Dalton, GA

Mr William Glenn Hardeman Jr, DO is a medicare enrolled "Surgery" physician in Dalton, Georgia. His current practice location is 1504 Broadrick Dr, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 278-6403.

Mr William Glenn Hardeman Jr is licensed to practice in Georgia (license number 92013) 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 1750821310.

Contact Information

	Mr William Glenn Hardeman Jr, DO
	1504 Broadrick Dr, Dalton, GA 30720-3011
	(706) 278-6403
	(706) 278-0087

Map and Direction

Physician's Profile

Full Name	Mr William Glenn Hardeman Jr
Gender	Male
Speciality	Surgery
Location	1504 Broadrick Dr, Dalton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750821310
Provider Enumeration Date: 03/02/2017
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5193096741
Enrollment ID: I20220728000820

Medical Identifiers

Medical identifiers for Mr William Glenn Hardeman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750821310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	92013 (Georgia)	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. Mr William Glenn Hardeman Jr allows following entities to bill medicare on his behalf.

Entity Name	Hamilton Physician Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235455569 PECOS PAC ID: 4789708553 Enrollment ID: O20100831000467

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. Mr William Glenn Hardeman 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 Address	Practice Location Address
Mr William Glenn Hardeman Jr, DO 1504 Broadrick Dr, Dalton, GA 30720-3011 Ph: (706) 278-6403	Mr William Glenn Hardeman Jr, DO 1504 Broadrick Dr, Dalton, GA 30720-3011 Ph: (706) 278-6403

Reviews and Comments

Surgery Doctors in Dalton, GA

Dr. Rodovaldo Rodriguez Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1504 Broadrick Dr, Dalton, GA 30720 Phone: 706-278-6403 Fax: 706-278-0087
Dr. Christopher Munro Abbot, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1109 Burleyson Rd, Suite 202, Dalton, GA 30720 Phone: 706-277-1573 Fax: 706-370-7715
Steven W Paynter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1504 Broadrick Dr, Dalton, GA 30720 Phone: 706-278-6403 Fax: 706-278-0087
Eric R Manahan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1504 Broadrick Dr, Dalton, GA 30720 Phone: 706-278-6403 Fax: 706-278-0087
Mrs. Donna Mali Johnson, MSN, AGACNP-BC. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1504 Broadrick Dr, Dalton, GA 30720 Phone: 706-278-6403 Fax: 706-278-0087
Dr. William H Lumpkin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1504 N Thornton Ave, Suite 103b, Dalton, GA 30720 Phone: 706-278-0351 Fax: 706-279-0058
Dr. Hector M. Dourron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1109 Burleyson Rd Ste 202, Dalton, GA 30720 Phone: 706-259-3336 Fax: 706-370-7715

Mr William Glenn Hardeman Jr, DO - Medicare Surgery in Dalton, GA