Sally M Hartwick, Md Pllc is a medicare enrolled primary clinic (Family Medicine) in Afton, New York. The current practice location for Sally M Hartwick, Md Pllc is 25 Evergreen St, Afton, New York. For appointments, you can reach them via phone at
(607) 639-2701. The mailing address for Sally M Hartwick, Md Pllc is 25 Evergreen St, Afton, New York and phone number is (607) 639-2701.
Sally M Hartwick, Md Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1205410784. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(607) 639-2701.
Primary Care Clinic Profile
| Full Name | Sally M Hartwick, Md Pllc |
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| Speciality | Family Medicine |
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| Location | 25 Evergreen St, Afton, New York |
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| Authorized Official Name and Position | Sally Hartwick (OWNER) |
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| Authorized Official Contact | 6076392701 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sally M Hartwick, Md Pllc
25 Evergreen St
Afton
NY 13730-2129
Ph: (607) 639-2701 | Sally M Hartwick, Md Pllc
25 Evergreen St
Afton
NY 13730-2129
Ph: (607) 639-2701 |
NPI Details:
| NPI Number | 1205410784 |
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| Provider Enumeration Date | 05/10/2021 |
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| Last Update Date | 12/13/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1759786817 |
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| Medicare Enrollment ID | O20210827000588 |
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Medical Identifiers
Medical identifiers for Sally M Hartwick, Md Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205410784 | NPI | - | NPPES |
| 1275023020 | Other | | TYPE 1 NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sally M Hartwick, Md Pllc acts as a billing entity for following providers:
| Provider Name | Sally Hartwick |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1275023020
PECOS PAC ID: 2668877721
Enrollment ID: I20210827000660 |
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