Susan Holland Hansel, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Gurnee, Illinois. Her current practice location is
222 S Greenleaf St, Suite 109, Gurnee, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 249-0167.
Susan Holland Hansel is licensed to practice in Illinois (license number 147-000311) 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 1962530808.
Healthcare Provider's Profile
| Full Name | Susan Holland Hansel |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 222 S Greenleaf St, Gurnee, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962530808
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 07/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 6305909862
- Enrollment ID: I20090108000717
Medical Identifiers
Medical identifiers for Susan Holland Hansel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962530808 | NPI | - | NPPES |
| 0004921745 | Other | IL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 147-000311 (Illinois) | Primary |
| 231HA2400X | Audiologist - Assistive Technology Practitioner | 147-000311 (Illinois) | Secondary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | 147-000311 (Illinois) | Secondary |
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. Susan Holland Hansel allows following entities to bill medicare on her behalf.
| Provider Name | Waukegan Clinic Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306937289
PECOS PAC ID: 4284631086
Enrollment ID: O20061108000240 |
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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. Susan Holland Hansel 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 |
|---|
Susan Holland Hansel, AUD, CCC-A
473 N Howard Ave,
Elmhurst, IL 60126-2022
Ph: (630) 533-3341 | Susan Holland Hansel, AUD, CCC-A
222 S Greenleaf St, Suite 109,
Gurnee, IL 60031-5705
Ph: (847) 249-0167 |
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