Mckenzie Hansen, is a medicare enrolled "Nurse Practitioner - Family" physician in La Grande, Oregon. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Praxis Health Pc and her current practice location is
2011 4th St, La Grande, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 962-7808.
Mckenzie Hansen is licensed to practice in Oregon (license number 10014371) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639952930.
Physician's Profile
| Full Name | Mckenzie Hansen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 2011 4th St, La Grande, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mckenzie Hansen graduated from medical school in 2023
NPI Data:
- NPI Number: 1639952930
- Provider Enumeration Date: 08/18/2023
- Last Update Date: 04/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789034364
- Enrollment ID: I20231221003779
Medical Identifiers
Medical identifiers for Mckenzie Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639952930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 64324 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10014371 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Praxis Health Pc | 8325941446 | 178 |
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. Mckenzie Hansen allows following entities to bill medicare on her behalf.
| Entity Name | Praxis Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821068164
PECOS PAC ID: 8325941446
Enrollment ID: O20040128000241 |
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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. Mckenzie Hansen 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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Mckenzie Hansen,
Po Box 1517,
Pendleton, OR 97801-0410
Ph: (877) 708-1119 | Mckenzie Hansen,
2011 4th St,
La Grande, OR 97850-2511
Ph: (541) 962-7808 |
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