Mrs Kelsey Katherine Hartman, PA - Medicare Physician Assistant in Ada, OK

Mrs Kelsey Katherine Hartman, PA is a medicare enrolled "Physician Assistant" in Ada, Oklahoma. Her current practice location is 1221 Arlington St Ste B, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-5111.

Mrs Kelsey Katherine Hartman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366049280.

Contact Information

Mrs Kelsey Katherine Hartman, PA
1221 Arlington St Ste B,
Ada, OK 74820-4067
(580) 436-5111
(580) 436-1159



Provider's Profile

Full NameMrs Kelsey Katherine Hartman
GenderFemale
SpecialityPhysician Assistant
Location1221 Arlington St Ste B, Ada, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366049280
  • Provider Enumeration Date: 10/04/2020
  • Last Update Date: 11/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921410630
  • Enrollment ID: I20201221002170

Medical Identifiers

Medical identifiers for Mrs Kelsey Katherine Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366049280NPI-NPPES
4493OtherOKOK BOARD OF MEDICAL LICENSURE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Mrs Kelsey Katherine 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
Mrs Kelsey Katherine Hartman, PA
527 W 3rd St,
Konawa, OK 74849-1415

Ph: (580) 925-3286
Mrs Kelsey Katherine Hartman, PA
1221 Arlington St Ste B,
Ada, OK 74820-4067

Ph: (580) 436-5111

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› Verified 8 days ago


Physician Assistant Nurses in Ada, OK

Travis L Teel, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    
Lauren Little Axe, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-4552
Ms. Mika Strong, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 905 Colony Dr, Ada, OK 74820
Phone: 580-436-5111    Fax: 580-436-1159
Mr. Benny Ross Wofford, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 430 N Monte Vista St, Ada, OK 74820
Phone: 580-421-1127    Fax: 580-436-6674
Mrs. Laurie Sue Paxson, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1001 N Country Club Rd, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6283
Jenny Simon, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1001 N Country Club Rd, Ada, OK 74820
Phone: 580-436-3980    
Shante Marie Seals,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    

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