Tina L Hathaway, - Medicare Nurse Practitioner in Statesboro, GA

Tina L Hathaway, is a medicare enrolled "Nurse Practitioner - Adult Health" in Statesboro, Georgia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice East Georgia Hma Physician Management Llc and her current practice location is 114 Hill Pond Ln, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 681-6944.

Tina L Hathaway is licensed to practice in Georgia (license number RN165131) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023529914.

Contact Information

Tina L Hathaway,
114 Hill Pond Ln,
Statesboro, GA 30458-0872
(912) 681-6944
(912) 681-8744

Map and Direction




Provider's Profile

Full NameTina L Hathaway
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location114 Hill Pond Ln, Statesboro, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tina L Hathaway graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1023529914
  • Provider Enumeration Date: 10/18/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355604174
  • Enrollment ID: I20180409002444

Medical Identifiers

Medical identifiers for Tina L Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023529914NPI-NPPES
RN165131OtherGANURSING LICENSE
RN165131OtherGANURSE PRACTITIONER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN165131 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
East Georgia Regional Medical CenterStatesboro, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Georgia Hma Physician Management Llc721406859232

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. Tina L Hathaway allows following entities to bill medicare on her behalf.
Entity NameEast Georgia Hma Physician Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487983151
PECOS PAC ID: 7214068592
Enrollment ID: O20100630000504

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. Tina L Hathaway 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 AddressPractice Location Address
Tina L Hathaway,
114 Hill Pond Ln,
Statesboro, GA 30458-0872

Ph: (912) 681-6944
Tina L Hathaway,
114 Hill Pond Ln,
Statesboro, GA 30458-0872

Ph: (912) 681-6944

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.