Briana Jean Hoban, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Lac Du Flambeau, Wisconsin. Her current practice location is
533 Peace Pipe Rd, Lac Du Flambeau, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 588-1511.
Briana Jean Hoban is licensed to practice in Wisconsin (license number 130338-121) 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 1104563808.
Healthcare Provider's Profile
| Full Name | Briana Jean Hoban |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 533 Peace Pipe Rd, Lac Du Flambeau, Wisconsin |
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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: 1104563808
- Provider Enumeration Date: 05/16/2022
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052755378
- Enrollment ID: I20240214003656
Medical Identifiers
Medical identifiers for Briana Jean Hoban such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104563808 | NPI | - | NPPES |
| 1104563808 | Medicaid | WI | |
| 11558-123 | Other | WI | STATE LICENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 11558-123 (Wisconsin) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 130338-121 (Wisconsin) | Primary |
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. Briana Jean Hoban 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 |
|---|
Briana Jean Hoban, LCSW
Po Box 189,
Lac Du Flambeau, WI 54538-0189
Ph: (715) 588-1511 | Briana Jean Hoban, LCSW
533 Peace Pipe Rd,
Lac Du Flambeau, WI 54538-9123
Ph: (715) 588-1511 |
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