Dr Keven Hagen, DC is a medicare enrolled "Chiropractor" provider in Mendon, New York. His current practice location is
10 Assembly Dr Ste 105, Mendon, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 497-7078.
Dr Keven Hagen is licensed to practice in New York (license number 012925) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316484348.
Healthcare Provider's Profile
| Full Name | Dr Keven Hagen |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 10 Assembly Dr Ste 105, Mendon, New York |
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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: 1316484348
- Provider Enumeration Date: 01/29/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729363833
- Enrollment ID: I20170331000747
Medical Identifiers
Medical identifiers for Dr Keven Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316484348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 012925 (New York) | 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. Dr Keven Hagen allows following entities to bill medicare on his behalf.
| Provider Name | Healthsource Of Hornell Progressive Chiropractic Rehabilitation, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700157013
PECOS PAC ID: 9335390772
Enrollment ID: O20121113000453 |
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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. Dr Keven Hagen 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 |
|---|
Dr Keven Hagen, DC
10 Assembly Dr Ste 105,
Mendon, NY 14506-9604
Ph: (585) 497-7078 | Dr Keven Hagen, DC
10 Assembly Dr Ste 105,
Mendon, NY 14506-9604
Ph: (585) 497-7078 |
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