George Ivar Hannibal, LCSW, CADCI is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Portland, Oregon. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1974 and has 51 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1419 Ne 69th Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 254-1545.
George Ivar Hannibal is licensed to practice in Oregon (license number 01-11-26) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003866708.
Healthcare Provider's Profile
| Full Name | George Ivar Hannibal |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 51 Years |
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| Location | 1419 Ne 69th Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- George Ivar Hannibal attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1974
NPI Data:
- NPI Number: 1003866708
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921108531
- Enrollment ID: I20070711001001
Medical Identifiers
Medical identifiers for George Ivar Hannibal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003866708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | L0525 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 01-11-26 (Oregon) | 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. George Ivar Hannibal 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 |
|---|
George Ivar Hannibal, LCSW, CADCI
1419 Ne 69th Ave,
Portland, OR 97213-5301
Ph: (503) 254-1545 | George Ivar Hannibal, LCSW, CADCI
1419 Ne 69th Ave,
Portland, OR 97213-5301
Ph: (503) 254-1545 |
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