Keely Fitzgerald Hanson, PA-C in Moab, UT - Medicare Physician Assistant

Keely Fitzgerald Hanson, PA-C is a medicare enrolled "Physician Assistant" in Moab, Utah. Her current practice location is 476 Williams Way, Suite A, Moab, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 259-7121.

Keely Fitzgerald Hanson is licensed to practice in South Carolina (license number TL 1548) 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 1205142924.

Contact Information

	Keely Fitzgerald Hanson, PA-C
	476 Williams Way, Suite A, Moab, UT 84532-2186
	(435) 259-7121
	(435) 259-3112

Map and Direction

Provider's Profile

Full Name	Keely Fitzgerald Hanson
Gender	Female
Speciality	Physician Assistant
Location	476 Williams Way, Moab, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205142924
Provider Enumeration Date: 08/19/2010
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8426297847
Enrollment ID: I20130617000014

Medical Identifiers

Medical identifiers for Keely Fitzgerald Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205142924	NPI	-	NPPES
8035121-1206	Other	UT	UT MEDICAL LICENSE
13520505	Other	UT	CAQH
1205142924	Other	UT	NPI
UT014851	Other	UT	UT MEDICAL LIABILITY
8035121-8906	Other	UT	UT CONTROLLED SUBSTANCE
U000088825	Other	UT	PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	TL 1548 (South Carolina)	Primary

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. Keely Fitzgerald 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 Address	Practice Location Address
Keely Fitzgerald Hanson, PA-C 476 Williams Way, Suite A, Moab, UT 84532-2186 Ph: (435) 259-7121	Keely Fitzgerald Hanson, PA-C 476 Williams Way, Suite A, Moab, UT 84532-2186 Ph: (435) 259-7121

Reviews and Comments

Physician Assistant Nurses in Moab, UT

Mr. Timothy Joseph Cristman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 476 Williams Way, Moab, UT 84532 Phone: 435-719-3500
Fernando Rivero, PA, MPAS, MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 S Old Airport Rd, Moab, UT 84532 Phone: 435-419-9210
Mr. Luke Allan Counterman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500
Brooke Etherington, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 255 Williams Way, Moab, UT 84532 Phone: 801-633-6268
Ms. Hannah Elizabeth Bodenhamer, PA-C, MPH Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500
Elizabeth Lazier Holtby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500

Keely Fitzgerald Hanson, PA-C - Medicare Physician Assistant in Moab, UT