Nathan B Hagen, MD is a medicare enrolled "Family Medicine" physician in Michigan, North Dakota. His current practice location is
115 South St, Michigan Community Medical Clinic, Michigan, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 259-2119.
Nathan B Hagen is licensed to practice in North Dakota (license number 3113) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518049931.
Physician's Profile
| Full Name | Nathan B Hagen |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 115 South St, Michigan, 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: 1518049931
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 10/29/2007
Medicare PECOS Information:
- PECOS PAC ID: 2264478486
- Enrollment ID: I20050628001063
Medical Identifiers
Medical identifiers for Nathan B Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518049931 | NPI | - | NPPES |
| 11257 | Medicaid | ND | |
| 33401 | Other | | REFERRING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 3113 (North Dakota) | Primary |
| 208D00000X | General Practice | 3113 (North Dakota) | Secondary |
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. Nathan B 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 |
|---|
Nathan B Hagen, MD
Po Box 290, 115 So St,
Michigan, ND 58259-0290
Ph: (701) 259-2119 | Nathan B Hagen, MD
115 South St, Michigan Community Medical Clinic,
Michigan, ND 58259-0290
Ph: (701) 259-2119 |
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