Elizabeth Hanna, MS, RDN, CDCES is a medicare enrolled "Dietitian, Registered" provider in Dumont, New Jersey. Her current practice location is
246 W Madison Ave, Dumont, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 704-3877.
Elizabeth Hanna is licensed to practice in New Jersey (license number 940978) 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 1023362621.
Healthcare Provider's Profile
| Full Name | Elizabeth Hanna |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 246 W Madison Ave, Dumont, New Jersey |
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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: 1023362621
- Provider Enumeration Date: 11/04/2012
- Last Update Date: 10/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204228646
- Enrollment ID: I20220118000055
Medical Identifiers
Medical identifiers for Elizabeth Hanna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023362621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 940978 (New Jersey) | 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. Elizabeth Hanna allows following entities to bill medicare on her behalf.
| Provider Name | St Josephs Medical Group Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205425519
PECOS PAC ID: 8628470325
Enrollment ID: O20210716000520 |
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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. Elizabeth Hanna 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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Elizabeth Hanna, MS, RDN, CDCES
246 W Madison Ave,
Dumont, NJ 07628-3318
Ph: () - | Elizabeth Hanna, MS, RDN, CDCES
246 W Madison Ave,
Dumont, NJ 07628-3318
Ph: (201) 704-3877 |
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