Mr Jamale Richard Hart, AGACNP-BC in Travis Afb, CA

Mr Jamale Richard Hart, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Travis Afb, California. His current practice location is 101 Bodin Cir, 60 Mdg/sgic, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3932.

Mr Jamale Richard Hart is licensed to practice in Texas (license number AP124527) 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 1407284029.

Contact Information

	Mr Jamale Richard Hart, AGACNP-BC
	101 Bodin Cir, 60 Mdg/sgic, Travis Afb, CA 94535-1809
	(707) 423-3932
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jamale Richard Hart
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407284029
Provider Enumeration Date: 10/16/2013
Last Update Date: 04/07/2017

Medicare PECOS Information:

PECOS PAC ID: 6406164078
Enrollment ID: I20150930002872

Medical Identifiers

Medical identifiers for Mr Jamale Richard Hart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407284029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP124527 (Texas)	Primary

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 Jamale Richard Hart 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 Jamale Richard Hart, AGACNP-BC 877 Emerald Hills Cir, Fairfield, CA 94533-9787 Ph: (210) 837-2797	Mr Jamale Richard Hart, AGACNP-BC 101 Bodin Cir, 60 Mdg/sgic, Travis Afb, CA 94535-1809 Ph: (707) 423-3932

Reviews and Comments

Nurse Practitioner Nurses in Travis Afb, CA

Brandy J Ellis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Missouri Way, Travis Afb, CA 94535 Phone: 478-235-4354
Samantha Obrien, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5124
Ann Marie Zenobia, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7927
Yardana Gill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir Bldg 777, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-3357
Mrs. Nicole Ivy-kutzler, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-7894
Zlatoslava Karga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5174
Leslie A Christopher, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5311

Mr Jamale Richard Hart, AGACNP-BC - Medicare Nurse Practitioner in Travis Afb, CA