Katherine Sandra Hanley, PMHNP-BC, LMHC - Medicare Nurse Practitioner in Brockton, MA

Katherine Sandra Hanley, PMHNP-BC, LMHC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brockton, Massachusetts. Her current practice location is 30 Meadowbrook Rd, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 225-4076.

Katherine Sandra Hanley is licensed to practice in Massachusetts (license number RN2290510) 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 1124282470.

Contact Information

Katherine Sandra Hanley, PMHNP-BC, LMHC
30 Meadowbrook Rd,
Brockton, MA 02301-7122
(857) 225-4076
(508) 408-6199

Map and Direction




Provider's Profile

Full NameKatherine Sandra Hanley
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location30 Meadowbrook Rd, Brockton, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124282470
  • Provider Enumeration Date: 07/16/2008
  • Last Update Date: 01/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072826254
  • Enrollment ID: I20150716002124

Medical Identifiers

Medical identifiers for Katherine Sandra Hanley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124282470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN2290510 (Massachusetts)Primary
101YM0800XCounselor - Mental Health 8236 (Massachusetts)Secondary
163W00000XRegistered Nurse RN2290510 (Massachusetts)Secondary

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. Katherine Sandra Hanley allows following entities to bill medicare on her behalf.
Entity NameHigh Point Treatment Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518996354
PECOS PAC ID: 3779578174
Enrollment ID: O20040415001222
Entity NameSquare Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356515464
PECOS PAC ID: 6608991187
Enrollment ID: O20100921000924

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. Katherine Sandra Hanley 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
Katherine Sandra Hanley, PMHNP-BC, LMHC
30 Meadowbrook Rd,
Brockton, MA 02301-7122

Ph: (857) 225-4076
Katherine Sandra Hanley, PMHNP-BC, LMHC
30 Meadowbrook Rd,
Brockton, MA 02301-7122

Ph: (857) 225-4076

Reviews and Comments


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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.

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