Hannah Wooten, is a medicare enrolled "Nurse Practitioner - Family" in Glenwood, Georgia. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ultra Health Providers Ii Llc and her current practice location is
41 N Fifth St, Glenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Hannah Wooten is licensed to practice in Georgia (license number RN252939) 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 1376378661.
Provider's Profile
| Full Name | Hannah Wooten |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 41 N Fifth St, Glenwood, Georgia |
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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:
- Hannah Wooten graduated from nursing school in 2023
NPI Data:
- NPI Number: 1376378661
- Provider Enumeration Date: 09/05/2024
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022543859
- Enrollment ID: I20241203001042
Medical Identifiers
Medical identifiers for Hannah Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376378661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN252939 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ultra Health Providers Ii Llc | 5395284616 | 11 |
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. Hannah Wooten allows following entities to bill medicare on her behalf.
| Entity Name | Infinite Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20201119003156 |
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| Entity Name | Ultra Health Providers Ii Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033956057
PECOS PAC ID: 5395284616
Enrollment ID: O20240829003110 |
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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. Hannah Wooten 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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Hannah Wooten,
13 Field Rd,
Glenwood, GA 30428-4662
Ph: () - | Hannah Wooten,
41 N Fifth St,
Glenwood, GA 30428-3701
Ph: (731) 394-1145 |
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