Trudy Lynn Hanson, AGPCNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" physician in St Paul, Minnesota. Her current practice location is
225 Smith Ave N, Suite 300, St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 241-5000.
Trudy Lynn Hanson is licensed to practice in Minnesota (license number 7705) 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 1477146595.
Physician's Profile
Full Name | Trudy Lynn Hanson |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 225 Smith Ave N, St Paul, Minnesota |
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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: 1477146595
- Provider Enumeration Date: 02/19/2021
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335543925
- Enrollment ID: I20210804000695
Medical Identifiers
Medical identifiers for Trudy Lynn Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477146595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | R42477 (North Dakota) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | R42477 (North Dakota) | Secondary |
363LX0106X | Nurse Practitioner - Occupational Health | 7705 (Minnesota) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 7705 (Minnesota) | 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. Trudy Lynn Hanson allows following entities to bill medicare on her behalf.
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
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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. Trudy Lynn 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 |
Trudy Lynn Hanson, AGPCNP-C 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Trudy Lynn Hanson, AGPCNP-C 225 Smith Ave N, Suite 300, St Paul, MN 55102-2592 Ph: (651) 241-5000 |
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