Jane Hague, CNP is a medicare enrolled "Nurse Practitioner - Family" in Deer Park, Ohio. Her current practice location is
4090 E Galbraith Road, Deer Park, Ohio. You can reach out to her office (for appointments etc.) via phone at
(866) 825-3227.
Jane Hague is licensed to practice in Ohio (license number NP-00030) 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 1134303142.
Provider's Profile
| Full Name | Jane Hague |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4090 E Galbraith Road, Deer Park, Ohio |
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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: 1134303142
- Provider Enumeration Date: 12/27/2007
- Last Update Date: 12/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668562406
- Enrollment ID: I20071218000126
Medical Identifiers
Medical identifiers for Jane Hague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134303142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP-00030 (Ohio) | 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. Jane Hague allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Diagnostic Of Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699747303
PECOS PAC ID: 2961425608
Enrollment ID: O20060109001066 |
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| Entity Name | Trihealth U Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528605177
PECOS PAC ID: 5799110953
Enrollment ID: O20200115002702 |
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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. Jane Hague 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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Jane Hague, CNP
161 Washington Street, Eight Tower Bridge, Suite 1400,
Conshohocken, PA 19428
Ph: (866) 825-3227 | Jane Hague, CNP
4090 E Galbraith Road,
Deer Park, OH 45236
Ph: (866) 825-3227 |
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