John Hartman, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Beavercreek, Ohio. His current practice location is
2145 N Fairfield Rd Ste 100, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 558-3900.
John Hartman is licensed to practice in * (Not Available) (license number ) 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 1104447002.
Healthcare Provider's Profile
| Full Name | John Hartman |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2145 N Fairfield Rd Ste 100, Beavercreek, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104447002
- Provider Enumeration Date: 05/01/2020
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375062078
- Enrollment ID: I20250527001494
Medical Identifiers
Medical identifiers for John Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104447002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. John 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 Address | Practice Location Address |
|---|
John Hartman,
2145 N Fairfield Rd Ste 100,
Beavercreek, OH 45431-2783
Ph: (937) 558-3900 | John Hartman,
2145 N Fairfield Rd Ste 100,
Beavercreek, OH 45431-2783
Ph: (937) 558-3900 |
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