Laila Hansen, PMHNP is a medicare enrolled "Counselor - Mental Health" in Melbourne, Florida. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Burnham Woods Champa And Associates, Circles Of Care Inc and her current practice location is
400 E Sheridan Rd, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 722-5200.
Laila Hansen is licensed to practice in * (Not Available) (license number ) 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 1295482651.
Provider's Profile
| Full Name | Laila Hansen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 400 E Sheridan Rd, Melbourne, Florida |
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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:
- Laila Hansen graduated from nursing school in 2021
NPI Data:
- NPI Number: 1295482651
- Provider Enumeration Date: 03/07/2022
- Last Update Date: 06/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517346232
- Enrollment ID: I20220625000630
Medical Identifiers
Medical identifiers for Laila Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295482651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11018395 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Burnham Woods Champa And Associates | 8325049596 | 7 |
| Circles Of Care Inc | 8729069380 | 16 |
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. Laila Hansen allows following entities to bill medicare on her behalf.
| Entity Name | Circles Of Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215345954
PECOS PAC ID: 8729069380
Enrollment ID: O20040528000379 |
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| Entity Name | Burnham Woods Champa & Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851354732
PECOS PAC ID: 8325049596
Enrollment ID: O20070131000153 |
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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. Laila 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 |
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Laila Hansen, PMHNP
400 E Sheridan Rd,
Melbourne, FL 32901-3184
Ph: (321) 722-5200 | Laila Hansen, PMHNP
400 E Sheridan Rd,
Melbourne, FL 32901-3184
Ph: (321) 722-5200 |
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