Christine M Hansen, MS LCSW SAC LPC is a medicare enrolled "Social Worker" provider in Neenah, Wisconsin. Her current practice location is
333 N Green Bay Rd, Neenah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 720-2300.
Christine M Hansen is licensed to practice in Wisconsin (license number 1805-123) 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 1104930940.
Healthcare Provider's Profile
| Full Name | Christine M Hansen |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 333 N Green Bay Rd, Neenah, 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: 1104930940
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840640132
- Enrollment ID: I20231228003059
Medical Identifiers
Medical identifiers for Christine M Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104930940 | NPI | - | NPPES |
| 39640300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12499 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 915 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 1805-123 (Wisconsin) | 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. Christine M Hansen allows following entities to bill medicare on her behalf.
| Entity Name | Thedacare, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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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. Christine M 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 |
|---|
Christine M Hansen, MS LCSW SAC LPC
1095 Midway Rd,
Menasha, WI 54952-1115
Ph: (920) 720-2300 | Christine M Hansen, MS LCSW SAC LPC
333 N Green Bay Rd,
Neenah, WI 54956-1954
Ph: (920) 720-2300 |
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