Jennifer Marie Hagen, OTR is a medicare enrolled "Occupational Therapist" physician in Greenfield, Wisconsin. Her current practice location is
4110 W Barnard Ave, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 217-1119.
Jennifer Marie Hagen is licensed to practice in Wisconsin (license number 3489-26) 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 1962254276.
Physician's Profile
Full Name | Jennifer Marie Hagen |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 4110 W Barnard Ave, Greenfield, Wisconsin |
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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: 1962254276
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 04/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183167315
- Enrollment ID: I20240617001835
Medical Identifiers
Medical identifiers for Jennifer Marie Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962254276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 3489-26 (Wisconsin) | Secondary |
225X00000X | Occupational Therapist | 3489-26 (Wisconsin) | 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. Jennifer Marie Hagen allows following entities to bill medicare on her behalf.
Entity Name | Paxxon Healthcare Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
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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. Jennifer Marie Hagen 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 |
Jennifer Marie Hagen, OTR 4110 W Barnard Ave, Greenfield, WI 53221-2549 Ph: (414) 217-1119 | Jennifer Marie Hagen, OTR 4110 W Barnard Ave, Greenfield, WI 53221-2549 Ph: (414) 217-1119 |
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