Dorothy Jane Hanna, ATC, LMT is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Champlin, Minnesota. Dorothy Jane Hanna is licensed to practice in Minnesota (license number 1839) and her current practice location is 10939 Quebec Ave N, Champlin, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 420-3723.
NPI number for Dorothy Jane Hanna is 1902310154 and her current mailing address is 10939 Quebec Ave N, Champlin, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902310154.
Physician's Profile
| Full Name | Dorothy Jane Hanna |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 10939 Quebec Ave N, Champlin, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902310154
- Provider Enumeration Date: 11/27/2017
- Last Update Date: 11/27/2017
Medical Identifiers
Medical identifiers for Dorothy Jane Hanna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902310154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083S0010X | Preventive Medicine - Sports Medicine | 1839 (Minnesota) | Secondary |
| 225700000X | Massage Therapist | (Minnesota) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1839 (Minnesota) | Primary |
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. Dorothy Jane Hanna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dorothy Jane Hanna, ATC, LMT
10939 Quebec Ave N,
Champlin, MN 55316-3261
Ph: (320) 420-3723 | Dorothy Jane Hanna, ATC, LMT
10939 Quebec Ave N,
Champlin, MN 55316-3261
Ph: (320) 420-3723 |
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