Lisa Hanan, is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" provider in Scotch Plains, New Jersey. Her current practice location is
1718 E 2nd St, Scotch Plains, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(917) 426-1448.
Lisa Hanan is licensed to practice in New Jersey (license number 26NJ01302200) 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 1619606670.
Healthcare Provider's Profile
| Full Name | Lisa Hanan |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 1718 E 2nd St, Scotch Plains, New Jersey |
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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: 1619606670
- Provider Enumeration Date: 06/06/2022
- Last Update Date: 06/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981050630
- Enrollment ID: I20231101000458
Medical Identifiers
Medical identifiers for Lisa Hanan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619606670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | R048374 (New York) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | F404106-01 (New York) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 26NJ01302200 (New Jersey) | 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. Lisa Hanan allows following entities to bill medicare on her behalf.
| Entity Name | Practice Associates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690 |
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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. Lisa Hanan 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 |
|---|
Lisa Hanan,
1718 E 2nd St,
Scotch Plains, NJ 07076-1608
Ph: (917) 426-1448 | Lisa Hanan,
1718 E 2nd St,
Scotch Plains, NJ 07076-1608
Ph: (917) 426-1448 |
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