Dr Ty Hanson, DO is a medicare enrolled "Dermatology" physician in Aberdeen, South Dakota. He went to University Of Pikeville, Kentucky College Of Osteopathic Med and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Prairie Dermatology Pc and his current practice location is
3 Lafayette St S, Aberdeen, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 226-0560.
Dr Ty Hanson is licensed to practice in South Dakota (license number 7021) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396804597.
Physician's Profile
| Full Name | Dr Ty Hanson |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 22 Years |
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| Location | 3 Lafayette St S, Aberdeen, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ty Hanson attended and graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2002
NPI Data:
- NPI Number: 1396804597
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284735598
- Enrollment ID: I20070730000832
Medical Identifiers
Medical identifiers for Dr Ty Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396804597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 34-00-8163H (Ohio) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 7021 (South Dakota) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 34-00-8163H (Ohio) | Secondary |
| 207N00000X | Dermatology | 7021 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prairie Dermatology Pc | 7719079193 | 3 |
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. Dr Ty Hanson allows following entities to bill medicare on his behalf.
| Entity Name | Prairie Dermatology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164622098
PECOS PAC ID: 7719079193
Enrollment ID: O20070816000019 |
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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. Dr Ty 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 |
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Dr Ty Hanson, DO
3 Lafayette St S,
Aberdeen, SD 57401-5524
Ph: (605) 226-0560 | Dr Ty Hanson, DO
3 Lafayette St S,
Aberdeen, SD 57401-5524
Ph: (605) 226-0560 |
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