Jennifer Marie Hagen, OTR is a medicare enrolled "Occupational Therapist" physician in Greenfield, Wisconsin. Her current practice location is
4110 W Barnard Ave, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 217-1119.
Jennifer Marie Hagen is licensed to practice in Wisconsin (license number 3489-26) 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 1962254276.
Physician's Profile
| Full Name | Jennifer Marie Hagen |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 4110 W Barnard Ave, Greenfield, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962254276
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 04/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183167315
- Enrollment ID: I20240617001835
Medical Identifiers
Medical identifiers for Jennifer Marie Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962254276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 3489-26 (Wisconsin) | Secondary |
| 225X00000X | Occupational Therapist | 3489-26 (Wisconsin) | 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. Jennifer Marie Hagen allows following entities to bill medicare on her behalf.
| Entity Name | Paxxon Healthcare Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
|---|
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. Jennifer Marie Hagen 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 |
Jennifer Marie Hagen, OTR 4110 W Barnard Ave, Greenfield, WI 53221-2549 Ph: (414) 217-1119 | Jennifer Marie Hagen, OTR 4110 W Barnard Ave, Greenfield, WI 53221-2549 Ph: (414) 217-1119 |
Reviews and Comments