Lisa Marie Hanson, NP - Medicare Family Medicine in South Jordan, UT

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Lisa Marie Hanson, NP is a medicare enrolled "Family Medicine - Adult Medicine" physician in South Jordan, Utah. Her current practice location is 4538 W South Jordan Pkwy Unit 110, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 661-6052.

Lisa Marie Hanson is licensed to practice in Utah (license number 5984518-4405) 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 1003530429.

Contact Information

Lisa Marie Hanson, NP
4538 W South Jordan Pkwy Unit 110,
South Jordan, UT 84009-5852
(801) 661-6052
Not Available

Map and Direction




Physician's Profile

Full NameLisa Marie Hanson
GenderFemale
SpecialityFamily Medicine - Adult Medicine
Location4538 W South Jordan Pkwy Unit 110, South Jordan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003530429
  • Provider Enumeration Date: 09/29/2022
  • Last Update Date: 09/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587035167
  • Enrollment ID: I20230118000976

Medical Identifiers

Medical identifiers for Lisa Marie Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003530429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 5984518-4405 (Utah)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. Lisa Marie Hanson allows following entities to bill medicare on her behalf.
Entity NameMmg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295392645
PECOS PAC ID: 5991039489
Enrollment ID: O20190703001917
Entity NameOption Care Infusion Suites Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164194601
PECOS PAC ID: 5698179125
Enrollment ID: O20211122002842

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. Lisa Marie Hanson 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 AddressPractice Location Address
Lisa Marie Hanson, NP
4538 W South Jordan Pkwy Unit 110,
South Jordan, UT 84009-5852

Ph: (801) 661-6052		Lisa Marie Hanson, NP
4538 W South Jordan Pkwy Unit 110,
South Jordan, UT 84009-5852

Ph: (801) 661-6052

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.