Dr Joshua Jessie Dewar Smith Hanen, JD, OD, FAAO - Medicare Optometrist in Minneapolis, MN

Dr Joshua Jessie Dewar Smith Hanen, JD, OD, FAAO is a medicare enrolled "Optometrist" provider in Minneapolis, Minnesota. He went to Ferris State College - College Of Optometry and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice River Lake Clinic Llc and his current practice location is 4323 E Lake St, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 722-1003.

Dr Joshua Jessie Dewar Smith Hanen is licensed to practice in Minnesota (license number 3331) 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 1407293061.

Contact Information

Dr Joshua Jessie Dewar Smith Hanen, JD, OD, FAAO
4323 E Lake St,
Minneapolis, MN 55406-2307
(612) 722-1003
(612) 721-6336

Map and Direction




Healthcare Provider's Profile

Full NameDr Joshua Jessie Dewar Smith Hanen
GenderMale
SpecialityOptometry
Experience11 Years
Location4323 E Lake St, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Joshua Jessie Dewar Smith Hanen attended and graduated from Ferris State College - College Of Optometry in 2013
  NPI Data:
  • NPI Number: 1407293061
  • Provider Enumeration Date: 05/22/2013
  • Last Update Date: 10/26/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5395984769
  • Enrollment ID: I20130614000305

Medical Identifiers

Medical identifiers for Dr Joshua Jessie Dewar Smith Hanen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407293061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3331 (Minnesota)Primary
152WC0802XOptometrist - Corneal And Contact Management 3331 (Minnesota)Secondary
152WL0500XOptometrist - Low Vision Rehabilitation 3331 (Minnesota)Secondary
152WP0200XOptometrist - Pediatrics 3331 (Minnesota)Secondary
152WS0006XOptometrist - Sports Vision 3331 (Minnesota)Secondary
152WV0400XOptometrist - Vision Therapy 3331 (Minnesota)Secondary
152WX0102XOptometrist - Occupational Vision 3331 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
River Lake Clinic Llc31737493223

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. Dr Joshua Jessie Dewar Smith Hanen allows following entities to bill medicare on his behalf.
Provider NameRiver Lake Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902932965
PECOS PAC ID: 3173749322
Enrollment ID: O20140723001701

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. Dr Joshua Jessie Dewar Smith Hanen 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
Dr Joshua Jessie Dewar Smith Hanen, JD, OD, FAAO
4323 E Lake St,
Minneapolis, MN 55406-2307

Ph: (612) 722-1003
Dr Joshua Jessie Dewar Smith Hanen, JD, OD, FAAO
4323 E Lake St,
Minneapolis, MN 55406-2307

Ph: (612) 722-1003

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.

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