Mr Stephen Hartle, PA-C - Medicare Physician Assistant in Cumming, GA

Mr Stephen Hartle, PA-C is a medicare enrolled "Physician Assistant - Medical" in Cumming, Georgia. His current practice location is 2576 Peachtree Pkwy, Suite 100, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 888-8777.

Mr Stephen Hartle is licensed to practice in Georgia (license number 7350) 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 1013311307.

Contact Information

Mr Stephen Hartle, PA-C
2576 Peachtree Pkwy, Suite 100,
Cumming, GA 30041
(770) 888-8777
(770) 888-8779



Provider's Profile

Full NameMr Stephen Hartle
GenderMale
SpecialityPhysician Assistant - Medical
Location2576 Peachtree Pkwy, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013311307
  • Provider Enumeration Date: 10/15/2014
  • Last Update Date: 09/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6204152689
  • Enrollment ID: I20150302001403

Medical Identifiers

Medical identifiers for Mr Stephen Hartle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013311307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 7350 (Georgia)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 Stephen Hartle 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
Mr Stephen Hartle, PA-C
2576 Peachtree Pkwy, Suite 100,
Cumming, GA 30041

Ph: (770) 888-8777
Mr Stephen Hartle, PA-C
2576 Peachtree Pkwy, Suite 100,
Cumming, GA 30041

Ph: (770) 888-8777

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