Vickie Hanna, LISW-SUPV, LCDCIII is a medicare enrolled "Social Worker - Clinical" provider in Barberton, Ohio. Her current practice location is
169 5th St Se, Unit B, Barberton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 673-1347.
Vickie Hanna is licensed to practice in Ohio (license number I.0010081-SUPV) 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 1487906756.
Healthcare Provider's Profile
| Full Name | Vickie Hanna |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 169 5th St Se, Barberton, Ohio |
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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: 1487906756
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 10/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 7012169915
- Enrollment ID: I20121128000294
Medical Identifiers
Medical identifiers for Vickie Hanna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487906756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDC-011413-3 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.0010081-SUPV (Ohio) | 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. Vickie Hanna allows following entities to bill medicare on her behalf.
| Entity Name | Community Drug Board, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861566945
PECOS PAC ID: 8022061142
Enrollment ID: O20050301000178 |
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| Entity Name | Psycho Social Therapies,ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750335261
PECOS PAC ID: 9234165424
Enrollment ID: O20051208000882 |
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| Entity Name | Axesspointe Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548214935
PECOS PAC ID: 5395705545
Enrollment ID: O20170131000781 |
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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. Vickie Hanna 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 |
|---|
Vickie Hanna, LISW-SUPV, LCDCIII
5982 Rhodes Rd,
Kent, OH 44240-4128
Ph: (330) 673-1347 | Vickie Hanna, LISW-SUPV, LCDCIII
169 5th St Se, Unit B,
Barberton, OH 44203-9003
Ph: (330) 673-1347 |
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