Mallory Hasenauer, CDCA 173136 is a
Peer Specialist based in Coal Grove, Ohio. Mallory Hasenauer is licensed to practice in Ohio (license number APS.003696) and her current practice location is
323 Marion Pike Ste 3, Coal Grove, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 646-6640.
NPI number for Mallory Hasenauer is 1730723495 and her current mailing address is 323 Marion Pike Ste 3, Coal Grove, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730723495.
Healthcare Provider's Profile
| Full Name | Mallory Hasenauer |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 323 Marion Pike Ste 3, Coal Grove, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730723495
- Provider Enumeration Date: 11/05/2019
- Last Update Date: 05/21/2024
Medical Identifiers
Medical identifiers for Mallory Hasenauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730723495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.173136 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | APS.003696 (Ohio) | Primary |
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. Mallory Hasenauer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mallory Hasenauer, CDCA 173136
323 Marion Pike Ste 3,
Coal Grove, OH 45638-2958
Ph: (304) 544-8103 | Mallory Hasenauer, CDCA 173136
323 Marion Pike Ste 3,
Coal Grove, OH 45638-2958
Ph: (740) 646-6640 |
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