Mr Orrin Blake Hansen, APRN in American Fork, UT

Mr Orrin Blake Hansen, APRN is a medicare enrolled "Nurse Practitioner - Family" in American Fork, Utah. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1175 E 50 S Ste 241, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 492-5999.

Mr Orrin Blake Hansen is licensed to practice in Utah (license number 282878-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104916543.

Contact Information

	Mr Orrin Blake Hansen, APRN
	1175 E 50 S Ste 241, American Fork, UT 84003-2849
	(801) 492-5999
	(801) 418-0897

Map and Direction

Provider's Profile

Full Name	Mr Orrin Blake Hansen
Gender	Male
Speciality	Nurse Practitioner
Experience	20 Years
Location	1175 E 50 S Ste 241, American Fork, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Orrin Blake Hansen graduated from nursing school in 2004

NPI Data:

NPI Number: 1104916543
Provider Enumeration Date: 10/14/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0749478311
Enrollment ID: I20101223000158

Medical Identifiers

Medical identifiers for Mr Orrin Blake Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104916543	NPI	-	NPPES
1104916543	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	282878-4405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	382

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. Mr Orrin Blake Hansen allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Entity Name	Physician Group Of Utah Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886

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. Mr Orrin Blake 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
Mr Orrin Blake Hansen, APRN 1055 N 500 W, Att Credentialing, Provo, UT 84604 Ph: (801) 543-8225	Mr Orrin Blake Hansen, APRN 1175 E 50 S Ste 241, American Fork, UT 84003-2849 Ph: (801) 492-5999

Reviews and Comments

Nurse Practitioner Nurses in American Fork, UT

Andrew Olesen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 922 Nob Hill Ave, American Fork, UT 84003 Phone: 801-471-0951
Sandra Burkinshaw, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1248 E 90 N, Suite 300, American Fork, UT 84003 Phone: 801-756-9635
Sarah Prentice, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 N 1100 E, American Fork, UT 84003 Phone: 801-855-3841
Hayley Alece Jolley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1248 E 90 N Ste 103, American Fork, UT 84003 Phone: 801-852-9560
Mr. Todd L Chidester, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1159 E 200 N Suite 200, American Fork, UT 84003 Phone: 801-756-5290 Fax: 801-756-5200
Mckell Palmer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1248 E 90 N Ste 103, American Fork, UT 84003 Phone: 801-852-9560

Mr Orrin Blake Hansen, APRN - Medicare Nurse Practitioner in American Fork, UT