Hanna Vandendriessche, LAC in Glendale, AZ - Medicare Counselor Provider

Hanna Vandendriessche, LAC is a medicare enrolled "Counselor - Mental Health" provider in Glendale, Arizona. Her current practice location is 5701 W Talavi Blvd, Ste 180, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 486-8202.

Hanna Vandendriessche is licensed to practice in Arizona (license number LAC-11821) 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 1801105374.

Contact Information

	Hanna Vandendriessche, LAC
	5701 W Talavi Blvd, Ste 180, Glendale, AZ 85306-1886
	(623) 486-8202
	(623) 486-2739

Map and Direction

Healthcare Provider's Profile

Full Name	Hanna Vandendriessche
Gender	Female
Speciality	Counselor - Mental Health
Location	5701 W Talavi Blvd, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801105374
Provider Enumeration Date: 10/01/2010
Last Update Date: 10/01/2010

Medicare PECOS Information:

PECOS PAC ID: 1759731433
Enrollment ID: I20231220003733

Medical Identifiers

Medical identifiers for Hanna Vandendriessche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801105374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LAC-11821 (Arizona)	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. Hanna Vandendriessche allows following entities to bill medicare on her behalf.

Entity Name	Jewish Family & Childrens Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023174455 PECOS PAC ID: 9234028671 Enrollment ID: O20040312001009

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. Hanna Vandendriessche 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
Hanna Vandendriessche, LAC 4747 N 7th St, Ste 100, Phoenix, AZ 85014-3653 Ph: (602) 279-7655	Hanna Vandendriessche, LAC 5701 W Talavi Blvd, Ste 180, Glendale, AZ 85306-1886 Ph: (623) 486-8202

Reviews and Comments

Counselor in Glendale, AZ

Laura Elma Huber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave, Ste. 311c, Glendale, AZ 85308 Phone: 623-692-4311
Nicole Ann Ujvari, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5625 W Bell Rd, Glendale, AZ 85308 Phone: 480-653-0167
Elizabeth Molina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5210 N 62nd Ave, Glendale, AZ 85301 Phone: 623-223-3080
Katherine Marie Hanlon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165
Amanda Wild, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste B20, Glendale, AZ 85308 Phone: 480-979-6200
Emily Train, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave Ste 105, Glendale, AZ 85308 Phone: 602-292-1862
Rachael Gustafson, LAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 W Glenn Dr Ste 140, Glendale, AZ 85301 Phone: 480-750-9337

Hanna Vandendriessche, LAC - Medicare Counselor in Glendale, AZ