Leslie Kay Alzuhn-hansen, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Columbus, Wisconsin. Her current practice location is
1515 Park Ave, Columbus, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 623-2200.
Leslie Kay Alzuhn-hansen is licensed to practice in Wisconsin (license number 44574) 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 1508871096.
Physician's Profile
| Full Name | Leslie Kay Alzuhn-hansen |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1515 Park Ave, Columbus, Wisconsin |
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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: 1508871096
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547314486
- Enrollment ID: I20090812000417
Medical Identifiers
Medical identifiers for Leslie Kay Alzuhn-hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508871096 | NPI | - | NPPES |
| 34219900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 44574 (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. Leslie Kay Alzuhn-hansen allows following entities to bill medicare on her behalf.
| Entity Name | Prairie Ridge Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154403657
PECOS PAC ID: 6800791484
Enrollment ID: O20040210000777 |
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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. Leslie Kay Alzuhn-hansen 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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Leslie Kay Alzuhn-hansen, MD
1515 Park Ave,
Columbus, WI 53925-1618
Ph: (920) 623-2200 | Leslie Kay Alzuhn-hansen, MD
1515 Park Ave,
Columbus, WI 53925-1618
Ph: (920) 623-2200 |
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