Dr Casey Ann Hanson, PHD, LPC is a medicare enrolled "Psychologist - Clinical" provider in Appleton, Wisconsin. Her current practice location is
W6240 Communication Ct Ste 2, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(203) 640-7479.
Dr Casey Ann Hanson is licensed to practice in Wisconsin (license number 2798-057) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336331248.
Healthcare Provider's Profile
| Full Name | Dr Casey Ann Hanson |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | W6240 Communication Ct Ste 2, Appleton, Wisconsin |
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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: 1336331248
- Provider Enumeration Date: 08/14/2007
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032268123
- Enrollment ID: I20090520000279
Medical Identifiers
Medical identifiers for Dr Casey Ann Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336331248 | NPI | - | NPPES |
| 41000400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 3646-125 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2798 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2798-057 (Wisconsin) | Primary |
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. Dr Casey Ann Hanson allows following entities to bill medicare on her behalf.
| Entity Name | Virago Wellness Initiative, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285412411
PECOS PAC ID: 0749630853
Enrollment ID: O20240102000604 |
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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. Dr Casey Ann Hanson 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 Casey Ann Hanson, PHD, LPC
W6240 Communication Ct Ste 2,
Appleton, WI 54914-8549
Ph: (920) 364-0747 | Dr Casey Ann Hanson, PHD, LPC
W6240 Communication Ct Ste 2,
Appleton, WI 54914-8549
Ph: (203) 640-7479 |
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