Dr George Michael Hanna Iii, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bridgeport, Connecticut. His current practice location is
267 Grant St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 384-4442.
Dr George Michael Hanna Iii is licensed to practice in Connecticut (license number 74104) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396368841.
Physician's Profile
Full Name | Dr George Michael Hanna Iii |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 267 Grant St, Bridgeport, Connecticut |
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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: 1396368841
- Provider Enumeration Date: 05/19/2020
- Last Update Date: 06/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446671671
- Enrollment ID: I20200526002498
Medical Identifiers
Medical identifiers for Dr George Michael Hanna Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396368841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | LP04951 (Rhode Island) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 74104 (Connecticut) | 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. Dr George Michael Hanna Iii 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 |
Dr George Michael Hanna Iii, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-4741 | Dr George Michael Hanna Iii, MD 267 Grant St, Bridgeport, CT 06610-2870 Ph: (203) 384-4442 |
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