Mariah Rae Hanson, PA-C - Medicare Physician Assistant in Maple Grove, MN

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Mariah Rae Hanson, PA-C is a medicare enrolled "Physician Assistant" in Maple Grove, Minnesota. Her current practice location is 9550 Upland Ln N Ste 100, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 537-6000.

Mariah Rae Hanson is licensed to practice in Minnesota (license number 12527) 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 1659890762.

Contact Information

Mariah Rae Hanson, PA-C
9550 Upland Ln N Ste 100,
Maple Grove, MN 55369-4482
(763) 537-6000
(763) 537-6666

Map and Direction




Provider's Profile

Full NameMariah Rae Hanson
GenderFemale
SpecialityPhysician Assistant
Location9550 Upland Ln N Ste 100, Maple Grove, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659890762
  • Provider Enumeration Date: 09/11/2017
  • Last Update Date: 01/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466711643
  • Enrollment ID: I20180116000487

Medical Identifiers

Medical identifiers for Mariah Rae Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659890762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 7695-23 (Wisconsin)Secondary
363A00000XPhysician Assistant 12527 (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. Mariah Rae Hanson allows following entities to bill medicare on her behalf.
Entity NameMngi Digestive Health PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609804541
PECOS PAC ID: 8123016557
Enrollment ID: O20040504001467
Entity NameCurana Health of Minnesota PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083365084
PECOS PAC ID: 6305233461
Enrollment ID: O20220420002125
Entity NameCH Specialty Services MN PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841999158
PECOS PAC ID: 7517331796
Enrollment ID: O20230330001063

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. Mariah Rae 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 AddressPractice Location Address
Mariah Rae Hanson, PA-C
2104 Northdale Blvd Nw Ste 220,
Minneapolis, MN 55433-3046

Ph: (763) 537-6000		Mariah Rae Hanson, PA-C
9550 Upland Ln N Ste 100,
Maple Grove, MN 55369-4482

Ph: (763) 537-6000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.