Mallory Hanewich, FNP-C in Wheatfield, IN - Medicare Nurse Practitioner

Mallory Hanewich, FNP-C is a medicare enrolled "Nurse Practitioner" in Wheatfield, Indiana. Her current practice location is 3988 W State Road 10, Wheatfield, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 987-3581.

Mallory Hanewich is licensed to practice in Indiana (license number 71015853A) 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 1497576052.

Contact Information

	Mallory Hanewich, FNP-C
	3988 W State Road 10, Wheatfield, IN 46392-9251
	(219) 987-3581
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Hanewich
Gender	Female
Speciality	Nurse Practitioner
Location	3988 W State Road 10, Wheatfield, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497576052
Provider Enumeration Date: 10/17/2024
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 7416484084
Enrollment ID: I20241219003881

Medical Identifiers

Medical identifiers for Mallory Hanewich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497576052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71015853A (Indiana)	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. Mallory Hanewich allows following entities to bill medicare on her behalf.

Entity Name	Porter Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409

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. Mallory Hanewich 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
Mallory Hanewich, FNP-C 7402 N 400 W, Rensselaer, IN 47978-7528 Ph: (219) 869-3675	Mallory Hanewich, FNP-C 3988 W State Road 10, Wheatfield, IN 46392-9251 Ph: (219) 987-3581

Reviews and Comments

Nurse Practitioner Nurses in Wheatfield, IN

Mrs. Erin A Husch, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 492 S Bierma St, Wheatfield, IN 46392 Phone: 219-956-2110
Corinne Michelle Djuric, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 E Robbins St, Wheatfield, IN 46392 Phone: 219-956-3004 Fax: 219-956-3006
Mr. Kimberly A Ott, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10342 N 100 W, Wheatfield, IN 46392 Phone: 866-434-3255 Fax: 855-238-6151
Heather Lynn Stokes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 492 S Bierma St, Wheatfield, IN 46392 Phone: 219-956-2110 Fax: 219-956-3548
Richele L Wright, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 492 S Bierma St, Wheatfield, IN 46392 Phone: 219-956-2110 Fax: 219-956-3548
Dr. Kathleen Kleefisch, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 492s Bierma St, Wheatfield, IN 46392 Phone: 219-956-2110 Fax: 219-956-3548

Mallory Hanewich, FNP-C - Medicare Nurse Practitioner in Wheatfield, IN