Alexis Marie Hanevold, OT is a medicare enrolled "Occupational Therapist" provider in East Grand Forks, Minnesota. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is
625 Demers Ave, East Grand Forks, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 773-5858.
Alexis Marie Hanevold is licensed to practice in Minnesota (license number 106041) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841849320.
Healthcare Provider's Profile
Full Name | Alexis Marie Hanevold |
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Gender | Female |
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Speciality | Occupational Therapy |
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Experience | 5 Years |
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Location | 625 Demers Ave, East Grand Forks, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alexis Marie Hanevold graduated from medical school in 2019
NPI Data:
- NPI Number: 1841849320
- Provider Enumeration Date: 09/08/2019
- Last Update Date: 04/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052744224
- Enrollment ID: I20220318001200
Medical Identifiers
Medical identifiers for Alexis Marie Hanevold such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841849320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 1738 (North Dakota) | Secondary |
225X00000X | Occupational Therapist | 106041 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sanford Medical Center Fargo | 8426967803 | 1094 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexis Marie Hanevold allows following entities to bill medicare on her behalf.
Provider Name | Sanford Clinic North |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
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Provider Name | Sanford Medical Center Fargo |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
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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. Alexis Marie Hanevold 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 |
Alexis Marie Hanevold, OT 625 Demers Ave, East Grand Forks, MN 56721-1833 Ph: (218) 773-5858 | Alexis Marie Hanevold, OT 625 Demers Ave, East Grand Forks, MN 56721-1833 Ph: (218) 773-5858 |
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