Mrs Charlotte Anne Hagy, PA-C in Tyler, TX - Medicare Physician Assistant

Mrs Charlotte Anne Hagy, PA-C is a medicare enrolled "Physician Assistant" in Tyler, Texas. Her current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-4129.

Mrs Charlotte Anne Hagy is licensed to practice in Texas (license number PA11108) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760916308.

Contact Information

	Mrs Charlotte Anne Hagy, PA-C
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 606-4129
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Charlotte Anne Hagy
Gender	Female
Speciality	Physician Assistant
Location	800 E Dawson St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760916308
Provider Enumeration Date: 04/19/2017
Last Update Date: 01/04/2021

Medicare PECOS Information:

PECOS PAC ID: 7517224421
Enrollment ID: I20171201000862

Medical Identifiers

Medical identifiers for Mrs Charlotte Anne Hagy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760916308	NPI	-	NPPES
P02469187	Other	TX	MEDICARE RAIL ROAD
P02548921	Other	TX	MEDICARE RAIL ROAD
379702908	Medicaid	TX
379702904	Medicaid	TX
1G0202	Other	TX	MEDICARE
379702903	Medicaid	TX
1G0201	Other	TX	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA11108 (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. Mrs Charlotte Anne Hagy 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
Mrs Charlotte Anne Hagy, PA-C Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-4129	Mrs Charlotte Anne Hagy, PA-C 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 606-4129

Reviews and Comments

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Mrs Charlotte Anne Hagy, PA-C - Medicare Physician Assistant in Tyler, TX