Holly Hanson, is a medicare enrolled "Counselor - Mental Health" provider in Gypsum, Colorado. Her current practice location is
127 Jules Way Unit G-104, Gypsum, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 279-1175.
Holly Hanson is licensed to practice in Colorado (license number LPC.0021280) 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 1861262206.
Healthcare Provider's Profile
| Full Name | Holly Hanson |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 127 Jules Way Unit G-104, Gypsum, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861262206
- Provider Enumeration Date: 01/08/2024
- Last Update Date: 04/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 4587196423
- Enrollment ID: I20241016001817
Medical Identifiers
Medical identifiers for Holly Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861262206 | NPI | - | NPPES |
| 9000235557 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0002707 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC.0021280 (Colorado) | 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. Holly Hanson allows following entities to bill medicare on her behalf.
| Entity Name | Colorado West Regional Mental Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649003740 PECOS PAC ID: 8628977329 Enrollment ID: O20031231000654 |
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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. Holly 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 |
Holly Hanson, Po Box 659, Portsmouth, NH 03802-0659 Ph: (888) 846-4821 | Holly Hanson, 127 Jules Way Unit G-104, Gypsum, CO 81637-5442 Ph: (970) 279-1175 |
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