Ian Hansen, FNP in Syracuse, UT - Medicare Nurse Practitioner

Ian Hansen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Syracuse, Utah. His current practice location is 1386 S 1025 W, Syracuse, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 866-2754.

Ian Hansen is licensed to practice in Utah (license number 9100218-4405) 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 1518721695.

Contact Information

	Ian Hansen, FNP
	1386 S 1025 W, Syracuse, UT 84075-9868
	(801) 866-2754
	Not Available

Map and Direction

Provider's Profile

Full Name	Ian Hansen
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1386 S 1025 W, Syracuse, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518721695
Provider Enumeration Date: 02/09/2024
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 5799226668
Enrollment ID: I20240918003434

Medical Identifiers

Medical identifiers for Ian Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518721695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9100218-4405 (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. Ian Hansen allows following entities to bill medicare on his behalf.

Entity Name	Valor Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508600933 PECOS PAC ID: 0547701625 Enrollment ID: O20240917000150

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. Ian 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
Ian Hansen, FNP 3500 Harrison Blvd Ste 200, Ogden, UT 84403-2038 Ph: (385) 626-6386	Ian Hansen, FNP 1386 S 1025 W, Syracuse, UT 84075-9868 Ph: (801) 866-2754

Reviews and Comments

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Ian Hansen, FNP - Medicare Nurse Practitioner in Syracuse, UT