Shay Hartvickson, MD in Fort Cavazos, TX - Medicare Emergency Medicine

Shay Hartvickson, MD is a medicare enrolled "Emergency Medicine" physician in Fort Cavazos, Texas. His current practice location is 590 Medical Center Road, Fort Cavazos, Texas. You can reach out to his office (for appointments etc.) via phone at (701) 208-1808.

Shay Hartvickson is licensed to practice in North Dakota (license number 14729) 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 1477913747.

Contact Information

	Shay Hartvickson, MD
	590 Medical Center Road, Fort Cavazos, TX 76544
	(701) 208-1808
	Not Available

Map and Direction

Physician's Profile

Full Name	Shay Hartvickson
Gender	Male
Speciality	Emergency Medicine
Location	590 Medical Center Road, Fort Cavazos, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477913747
Provider Enumeration Date: 03/01/2016
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1052759370
Enrollment ID: I20240405001570

Medical Identifiers

Medical identifiers for Shay Hartvickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477913747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	PT14729 (North Dakota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	14729 (North Dakota)	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. Shay Hartvickson allows following entities to bill medicare on his behalf.

Entity Name	Bryan Emergency Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417995481 PECOS PAC ID: 7416840574 Enrollment ID: O20040204000121

Entity Name	Nes Southwest Medical Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093487449 PECOS PAC ID: 9234520800 Enrollment ID: O20211216001478

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. Shay Hartvickson 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
Shay Hartvickson, MD 590 Medical Center Rd., Fort Cavazos, TX 76544 Ph: (208) 208-1808	Shay Hartvickson, MD 590 Medical Center Road, Fort Cavazos, TX 76544 Ph: (701) 208-1808

Reviews and Comments

Emergency Medicine Doctors in Fort Cavazos, TX

Tyler John Hummel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 435-668-3103 Fax: 915-742-6668
Reagan Dehnbostel, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-288-8000
Alec Pawlukiewicz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-8000
Dr. Cameron Seth Wolterstorff, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Fort Cavazos, TX 98431 Phone: 254-288-8000
Dr. Justin Lee Case, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 761 Tank Battalion, Fort Cavazos, TX 76544 Phone: 254-618-8040
Dr. Jonathan Srichandra, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-553-1363
Joshua Brian Seidel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-618-8657

Shay Hartvickson, MD - Medicare Emergency Medicine in Fort Cavazos, TX