Hannah Marie Pavek, DNP, APRN, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Fargo, North Dakota. Her current practice location is
100 4th St S Ste 308, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 367-2165.
Hannah Marie Pavek is licensed to practice in North Dakota (license number R42721) 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 1821612433.
Physician's Profile
| Full Name | Hannah Marie Pavek |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 100 4th St S Ste 308, Fargo, North Dakota |
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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: 1821612433
- Provider Enumeration Date: 05/31/2020
- Last Update Date: 01/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921496696
- Enrollment ID: I20211028003156
Medical Identifiers
Medical identifiers for Hannah Marie Pavek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821612433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | R42721 (North Dakota) | Secondary |
| 163WP0200X | Registered Nurse - Pediatrics | 2464309 (Minnesota) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | R42721 (North Dakota) | 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. Hannah Marie Pavek allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Medical Center Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495 |
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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. Hannah Marie Pavek 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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Hannah Marie Pavek, DNP, APRN, CPNP-PC
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-6585 | Hannah Marie Pavek, DNP, APRN, CPNP-PC
100 4th St S Ste 308,
Fargo, ND 58103-1937
Ph: (701) 367-2165 |
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