Dr Santrell Denise Hart-moreland, OD,MPH is a medicare enrolled "Optometrist" provider in Ellenwood, Georgia. Her current practice location is
158 Fairview Rd, Suite B, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 289-5835.
Dr Santrell Denise Hart-moreland is licensed to practice in Georgia (license number 001761) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376613968.
Healthcare Provider's Profile
| Full Name | Dr Santrell Denise Hart-moreland |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 158 Fairview Rd, Ellenwood, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Santrell Denise Hart-moreland attended and graduated from in
NPI Data:
- NPI Number: 1376613968
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 11/16/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Santrell Denise Hart-moreland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376613968 | NPI | - | NPPES |
| 00832818B | Medicaid | GA | |
| 00832818C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 001761 (Georgia) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 001761 (Georgia) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 001761 (Georgia) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | 1761 (Georgia) | Secondary |
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. Dr Santrell Denise Hart-moreland 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 |
|---|
Dr Santrell Denise Hart-moreland, OD,MPH
158 Fairview Rd, Suite B,
Ellenwood, GA 30294-2795
Ph: (678) 289-5835 | Dr Santrell Denise Hart-moreland, OD,MPH
158 Fairview Rd, Suite B,
Ellenwood, GA 30294-2795
Ph: (678) 289-5835 |
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