Grace Emily Hanlon, RD, CDCES is a medicare enrolled "Nutritionist - Nutrition, Education" provider in Halfmoon, New York. Her current practice location is
1783 Route 9 Ste 203, Halfmoon, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 213-6910.
Grace Emily Hanlon is licensed to practice in New York (license number 008850) 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 1124549548.
Healthcare Provider's Profile
| Full Name | Grace Emily Hanlon |
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| Gender | Female |
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| Speciality | Nutritionist - Nutrition, Education |
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| Location | 1783 Route 9 Ste 203, Halfmoon, New York |
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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: 1124549548
- Provider Enumeration Date: 07/06/2017
- Last Update Date: 03/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365820735
- Enrollment ID: I20220526001545
Medical Identifiers
Medical identifiers for Grace Emily Hanlon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124549548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86083020 (New York) | Secondary |
| 133V00000X | Dietitian, Registered | 008850 (New York) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | 008850 (New York) | 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. Grace Emily Hanlon allows following entities to bill medicare on her behalf.
| Provider Name | Community Care Physicians Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922048370
PECOS PAC ID: 8022904473
Enrollment ID: O20080130000272 |
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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. Grace Emily Hanlon 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 |
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Grace Emily Hanlon, RD, CDCES
711 Troy Schenectady Rd Ste 203,
Latham, NY 12110-2461
Ph: (518) 782-3700 | Grace Emily Hanlon, RD, CDCES
1783 Route 9 Ste 203,
Halfmoon, NY 12065-2466
Ph: (518) 213-6910 |
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