Kenneth Leonard Hartman, RPA-C - Medicare Physician Assistant in Anaheim, CA

Kenneth Leonard Hartman, RPA-C is a medicare enrolled "Physician Assistant" in Anaheim, California. His current practice location is 2121 S Towne Centre Pl, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 937-1919.

Kenneth Leonard Hartman is licensed to practice in California (license number 16290) 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 1053388124.

Contact Information

Kenneth Leonard Hartman, RPA-C
2121 S Towne Centre Pl,
Anaheim, CA 92806-6122
(714) 937-1919
(714) 937-1095



Provider's Profile

Full NameKenneth Leonard Hartman
GenderMale
SpecialityPhysician Assistant
Location2121 S Towne Centre Pl, Anaheim, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053388124
  • Provider Enumeration Date: 03/07/2006
  • Last Update Date: 02/25/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6406908870
  • Enrollment ID: I20090715000637

Medical Identifiers

Medical identifiers for Kenneth Leonard Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053388124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 16290 (California)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. Kenneth Leonard Hartman 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
Kenneth Leonard Hartman, RPA-C
2121 S Towne Centre Pl,
Anaheim, CA 92806-6122

Ph: (714) 937-1919
Kenneth Leonard Hartman, RPA-C
2121 S Towne Centre Pl,
Anaheim, CA 92806-6122

Ph: (714) 937-1919

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