Breana Nicole Hagan, MSW is a medicare enrolled "Social Worker - Clinical" provider in San Leandro, California. Her current practice location is
2275 Arlington Dr, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at
(510) 317-1445.
Breana Nicole Hagan is licensed to practice in * (Not Available) (license number ) 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 1467887505.
Healthcare Provider's Profile
| Full Name | Breana Nicole Hagan |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2275 Arlington Dr, San Leandro, California |
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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: 1467887505
- Provider Enumeration Date: 09/09/2013
- Last Update Date: 07/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 0042634008
- Enrollment ID: I20200723000526
Medical Identifiers
Medical identifiers for Breana Nicole Hagan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467887505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 59866 (California) | Secondary |
| 104100000X | Social Worker | 59866 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Breana Nicole Hagan allows following entities to bill medicare on her behalf.
| Entity Name | Sacramento Native American Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588756530
PECOS PAC ID: 2365547023
Enrollment ID: O20200701000784 |
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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. Breana Nicole Hagan 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 |
|---|
Breana Nicole Hagan, MSW
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1445 | Breana Nicole Hagan, MSW
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1445 |
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