Jane Catherine Hansen, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Lauderdale, Minnesota. Her current practice location is
1966 Walnut St, Lauderdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 418-0694.
Jane Catherine Hansen is licensed to practice in Minnesota (license number 20689) 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 1548609019.
Healthcare Provider's Profile
Full Name | Jane Catherine Hansen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1966 Walnut St, Lauderdale, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548609019
- Provider Enumeration Date: 06/18/2013
- Last Update Date: 06/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 3173765625
- Enrollment ID: I20130812000826
Medical Identifiers
Medical identifiers for Jane Catherine Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548609019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 20689 (Minnesota) | 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. Jane Catherine Hansen allows following entities to bill medicare on her behalf.
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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Entity Name | Behavioral Healthcare Providers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912066218 PECOS PAC ID: 8426374232 Enrollment ID: O20150312002305 |
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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. Jane Catherine Hansen 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 |
Jane Catherine Hansen, LICSW 1966 Walnut St, Lauderdale, MN 55113-5136 Ph: (612) 418-0694 | Jane Catherine Hansen, LICSW 1966 Walnut St, Lauderdale, MN 55113-5136 Ph: (612) 418-0694 |
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