Dr Kenneth D Hawn, MD is a medicare enrolled "Pediatrics" physician in Waterloo, Illinois. His current practice location is
509 Hamacher St, Suite 103, Waterloo, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 939-2273.
Dr Kenneth D Hawn is licensed to practice in Illinois (license number 036135043) 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 1932101532.
Physician's Profile
Full Name | Dr Kenneth D Hawn |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 509 Hamacher St, Waterloo, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932101532
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 08/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 9830196997
- Enrollment ID: I20150917001288
Medical Identifiers
Medical identifiers for Dr Kenneth D Hawn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932101532 | NPI | - | NPPES |
157028001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | E-4451 (Arkansas) | Secondary |
208000000X | Pediatrics | 2003018920 (Missouri) | Secondary |
208000000X | Pediatrics | 036135043 (Illinois) | 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. Dr Kenneth D Hawn 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 D Hawn, MD 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 Ph: (618) 939-2273 | Dr Kenneth D Hawn, MD 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 Ph: (618) 939-2273 |
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