Dr Kenneth Delton Hartzog, OD in Gadsden, AL - Medicare Optometrist Provider

Dr Kenneth Delton Hartzog, OD is a medicare enrolled "Optometrist" provider in Gadsden, Alabama. His current practice location is 249 South 6th Street, Gadsden, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 546-4647.

Dr Kenneth Delton Hartzog is licensed to practice in Alabama (license number S357TA046) 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 1710063953.

Contact Information

	Dr Kenneth Delton Hartzog, OD
	249 South 6th Street, Gadsden, AL 35901-4102
	(256) 546-4647
	(256) 546-4272

Healthcare Provider's Profile

Full Name	Dr Kenneth Delton Hartzog
Gender	Male
Speciality	Optometrist
Location	249 South 6th Street, Gadsden, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710063953
Provider Enumeration Date: 10/31/2006
Last Update Date: 12/19/2013

Medicare PECOS Information:

PECOS PAC ID: 9133244304
Enrollment ID: I20100910000639

Medical Identifiers

Medical identifiers for Dr Kenneth Delton Hartzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710063953	NPI	-	NPPES
000059427	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S357TA046 (Alabama)	Primary
152W00000X	Optometrist	OPT000791 (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 Kenneth Delton Hartzog 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 Kenneth Delton Hartzog, OD 249 South 6th Street, Gadsden, AL 35901-4102 Ph: (256) 546-4647	Dr Kenneth Delton Hartzog, OD 249 South 6th Street, Gadsden, AL 35901-4102 Ph: (256) 546-4647

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Optometrist in Gadsden, AL

National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 528a E Meighan Blvd, Gadsden, AL 35903 Phone: 256-467-0354
Dr. Anna Lessley Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1411 Piedmont Cutoff, Gadsden, AL 35903 Phone: 256-492-0131
Dr. Michael Johnson & Associates Optometrist Medicare: Medicare Enrolled Practice Location: 1413 Rainbow Dr, Gadsden, AL 35901 Phone: 256-543-8886 Fax: 256-546-1094
C David Burton Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 245 S 6th St, Gadsden, AL 35901 Phone: 256-546-8074 Fax: 256-546-0376
Cooper Vision Center, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2414 Rainbow Dr, Gadsden, AL 35901 Phone: 256-413-7878 Fax: 256-413-7874
Dr. Jay Michael Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1413 Rainbow Dr Ste 1, Gadsden, AL 35901 Phone: 256-543-8886 Fax: 256-546-1094
Johnnie Ray Nobles Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2015 Rainbow Dr, Gadsden, AL 35901 Phone: 256-547-2025 Fax: 256-547-2019

Dr Kenneth Delton Hartzog, OD - Medicare Optometrist in Gadsden, AL