Ms Jacqueline M Hanna, CRNA in Charlotte, NC - Medicare Nurse Anesthetist, Certified Registered

Ms Jacqueline M Hanna, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. Her current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-4274.

Ms Jacqueline M Hanna is licensed to practice in North Carolina (license number 077461) 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 1659571198.

Contact Information

	Ms Jacqueline M Hanna, CRNA
	200 Hawthorne Ln, Charlotte, NC 28204-2515
	(704) 384-4274
	(704) 384-5636

Map and Direction

Provider's Profile

Full Name	Ms Jacqueline M Hanna
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659571198
Provider Enumeration Date: 07/23/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8325134174
Enrollment ID: I20090422000339

Medical Identifiers

Medical identifiers for Ms Jacqueline M Hanna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659571198	NPI	-	NPPES
NAN806	Medicaid	SC
8052983	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	077461 (North Carolina)	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. Ms Jacqueline M Hanna allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Ms Jacqueline M Hanna 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
Ms Jacqueline M Hanna, CRNA Po Box 601549, Charlotte, NC 28260-1549 Ph: (704) 384-4274	Ms Jacqueline M Hanna, CRNA 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-4274

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636
Alexandru Daniel Vlasin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000

Ms Jacqueline M Hanna, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlotte, NC