Shannon Teah Hanzalik, is a
Student In An Organized Health Care Education/training Program based in Fitchburg, Massachusetts. Shannon Teah Hanzalik is licensed to practice in * (Not Available) (license number ) and her current practice location is
76 Summer St Ste 145a, Fitchburg, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 309-1902.
NPI number for Shannon Teah Hanzalik is 1689373797 and her current mailing address is 21 Revere Beach Blvd Apt 518r, Revere, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689373797.
Healthcare Provider's Profile
Full Name | Shannon Teah Hanzalik |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 76 Summer St Ste 145a, Fitchburg, Massachusetts |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689373797
- Provider Enumeration Date: 02/27/2023
- Last Update Date: 02/27/2023
Medical Identifiers
Medical identifiers for Shannon Teah Hanzalik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689373797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (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. Shannon Teah Hanzalik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Teah Hanzalik, 21 Revere Beach Blvd Apt 518r, Revere, MA 02151-6135 Ph: (617) 480-1042 | Shannon Teah Hanzalik, 76 Summer St Ste 145a, Fitchburg, MA 01420-0200 Ph: (978) 309-1902 |
Reviews and Comments