Mrs Lolita R Hansen, PMHNP-BC in Grafton, WI - Medicare Nurse Practitioner

Mrs Lolita R Hansen, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grafton, Wisconsin. Her current practice location is 126 W Falls Rd, Grafton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 665-7940.

Mrs Lolita R Hansen is licensed to practice in Wisconsin (license number 14210-33) 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 1255010559.

Contact Information

	Mrs Lolita R Hansen, PMHNP-BC
	126 W Falls Rd, Grafton, WI 53024-2508
	(262) 665-7940
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lolita R Hansen
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	126 W Falls Rd, Grafton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255010559
Provider Enumeration Date: 07/13/2023
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2264881374
Enrollment ID: I20231214003469

Medical Identifiers

Medical identifiers for Mrs Lolita R Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255010559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	14210-33 (Wisconsin)	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. Mrs Lolita R Hansen allows following entities to bill medicare on her behalf.

Entity Name	County Of Brown
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942305065 PECOS PAC ID: 1355435900 Enrollment ID: O20100524000844

Entity Name	Ganesha Institute Of Neurology And Psychiatry Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629478599 PECOS PAC ID: 0042432296 Enrollment ID: O20221214000103

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. Mrs Lolita R 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
Mrs Lolita R Hansen, PMHNP-BC 126 W Falls Rd, Grafton, WI 53024-2508 Ph: (262) 665-7940	Mrs Lolita R Hansen, PMHNP-BC 126 W Falls Rd, Grafton, WI 53024-2508 Ph: (262) 665-7940

Reviews and Comments

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Mrs Lolita R Hansen, PMHNP-BC - Medicare Nurse Practitioner in Grafton, WI