Dr Kellie Hanson, DNP PMHNP-BC in Peachtree Corners, GA

Dr Kellie Hanson, DNP PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Peachtree Corners, Georgia. Her current practice location is 4958 Scotts Creek Trl, Peachtree Corners, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 510-8118.

Dr Kellie Hanson is licensed to practice in Minnesota (license number 10047) 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 1285043547.

Contact Information

	Dr Kellie Hanson, DNP PMHNP-BC
	4958 Scotts Creek Trl, Peachtree Corners, GA 30096-2963
	(678) 510-8118
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kellie Hanson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4958 Scotts Creek Trl, Peachtree Corners, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285043547
Provider Enumeration Date: 08/11/2014
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5294176822
Enrollment ID: I20240514003721

Medical Identifiers

Medical identifiers for Dr Kellie Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285043547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	2335469 (Minnesota)	Secondary
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN238773 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10047 (Minnesota)	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. Dr Kellie Hanson allows following entities to bill medicare on her behalf.

Entity Name	Healthwise Psychology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184920753 PECOS PAC ID: 2567685647 Enrollment ID: O20140516001784

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. Dr Kellie 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
Dr Kellie Hanson, DNP PMHNP-BC 11280 86th Ave N, Maple Grove, MN 55369-4510 Ph: (763) 400-7825	Dr Kellie Hanson, DNP PMHNP-BC 4958 Scotts Creek Trl, Peachtree Corners, GA 30096-2963 Ph: (678) 510-8118

Reviews and Comments

Nurse Practitioner Nurses in Peachtree Corners, GA

Mrs. Ashley Gaines, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5550 Peachtree Pkwy Ste 150, Peachtree Corners, GA 30092 Phone: 770-558-6202
Lady Carolina Collins, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3780 Holcomb Bridge Rd, Peachtree Corners, GA 30092 Phone: 770-263-9102
Jocelyne Hayes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3260 Pointe Pkwy Ste 1000, Peachtree Corners, GA 30092 Phone: 770-685-1424
Lovelin Fonkika, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5550 Peachtree Pkwy Ste 150, Peachtree Corners, GA 30092 Phone: 770-558-6202
Raphael B Fowler, AGPCNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3387 Peachtree Corners Cir Apt I, Peachtree Corners, GA 30092 Phone: 678-542-9756
Zondera Simpson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4028 Holcomb Bridge Rd Ste 200, Peachtree Corners, GA 30092 Phone: 678-580-1736
Alexa D Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3780 Holcomb Bridge Rd, Ste C, Peachtree Corners, GA 30092 Phone: 770-263-9101 Fax: 770-263-9102

Dr Kellie Hanson, DNP PMHNP-BC - Medicare Nurse Practitioner in Peachtree Corners, GA