David L Hanson, DDS is a medicare enrolled "Dentist - General Practice" provider in Prudenville, Michigan. His current practice location is
1090 W Houghton Lake Dr, Prudenville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 366-8643.
David L Hanson is licensed to practice in Michigan (license number 13648) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366649980.
Healthcare Provider's Profile
Full Name | David L Hanson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1090 W Houghton Lake Dr, Prudenville, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366649980
- Provider Enumeration Date: 06/28/2007
- Last Update Date: 08/07/2008
Medicare PECOS Information:
- PECOS PAC ID: 4981991387
- Enrollment ID: I20160929000302
Medical Identifiers
Medical identifiers for David L Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366649980 | NPI | - | NPPES |
13648 | Other | MI | LICENSE NUMBER |
136480 | Other | MI | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 13648 (Michigan) | 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. David L Hanson allows following entities to bill medicare on his behalf.
Entity Name | Dhhs Ihs Phoenix Area |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
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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. David L Hanson 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 |
David L Hanson, DDS 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 Ph: (989) 366-8643 | David L Hanson, DDS 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 Ph: (989) 366-8643 |
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