Debra Helen Hagen, RN is a medicare enrolled "Nurse Practitioner - Family" in Glen Gardner, New Jersey. Her current practice location is
7 Glenn Ave, Glen Gardner, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 310-6559.
Debra Helen Hagen is licensed to practice in New Jersey (license number 26NJ01333900) 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 1780287003.
Provider's Profile
| Full Name | Debra Helen Hagen |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 7 Glenn Ave, Glen Gardner, New Jersey |
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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: 1780287003
- Provider Enumeration Date: 11/19/2020
- Last Update Date: 12/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204200579
- Enrollment ID: I20230328002236
Medical Identifiers
Medical identifiers for Debra Helen Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780287003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WH1000X | Registered Nurse - Hospice | 26NR10695300 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ01333900 (New Jersey) | 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. Debra Helen Hagen allows following entities to bill medicare on her behalf.
| Entity Name | Hampton Family Practice, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578792040
PECOS PAC ID: 7719033794
Enrollment ID: O20090916000114 |
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| Entity Name | Somdocs |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508390832
PECOS PAC ID: 8123381811
Enrollment ID: O20180411000336 |
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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. Debra Helen 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 |
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Debra Helen Hagen, RN
450 Charlestown Rd,
Hampton, NJ 08827-2535
Ph: (908) 537-1042 | Debra Helen Hagen, RN
7 Glenn Ave,
Glen Gardner, NJ 08826-3629
Ph: (908) 310-6559 |
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