Lily Hanscom, is a medicare enrolled "Social Worker - Clinical" provider in Tucson, Arizona. Her current practice location is
4301 E 5th St, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 795-0300.
Lily Hanscom is licensed to practice in Arizona (license number LPC-20594) 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 1043921760.
Healthcare Provider's Profile
| Full Name | Lily Hanscom |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4301 E 5th St, Tucson, Arizona |
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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: 1043921760
- Provider Enumeration Date: 12/13/2022
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618316977
- Enrollment ID: I20240418003775
Medical Identifiers
Medical identifiers for Lily Hanscom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043921760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LPC-20594 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | LPC-20594 (Arizona) | 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. Lily Hanscom allows following entities to bill medicare on her behalf.
| Entity Name | Jewish Family And Childrens Service Of Southern Arizona, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093876542
PECOS PAC ID: 9436176831
Enrollment ID: O20051025000775 |
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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. Lily Hanscom 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 |
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Lily Hanscom,
4301 E 5th St,
Tucson, AZ 85711-2005
Ph: (520) 795-0300 | Lily Hanscom,
4301 E 5th St,
Tucson, AZ 85711-2005
Ph: (520) 795-0300 |
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