Jeffery Daniel Hansen, in Cleveland, OH - Medicare Nurse Practitioner

Jeffery Daniel Hansen, is a medicare enrolled "Nurse Practitioner - Acute Care" in Cleveland, Ohio. His current practice location is 10601 East Blvd, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 791-3800.

Jeffery Daniel Hansen is licensed to practice in Ohio (license number APRN.CNP.0034575) 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 1255111837.

Contact Information

	Jeffery Daniel Hansen,
	10601 East Blvd, Cleveland, OH 44106
	(216) 791-3800
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeffery Daniel Hansen
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	10601 East Blvd, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255111837
Provider Enumeration Date: 10/02/2023
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4880030717
Enrollment ID: I20240313002611

Medical Identifiers

Medical identifiers for Jeffery Daniel Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255111837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN.CNP.0034575 (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. Jeffery Daniel Hansen allows following entities to bill medicare on his behalf.

Entity Name	University Hospitals Cleveland Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043747454 PECOS PAC ID: 3274431879 Enrollment ID: O20170728000888

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. Jeffery Daniel 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
Jeffery Daniel Hansen, 5151 State Route 82, Mantua, OH 44255-9214 Ph: (330) 414-4646	Jeffery Daniel Hansen, 10601 East Blvd, Cleveland, OH 44106 Ph: (216) 791-3800

Reviews and Comments

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Jeffery Daniel Hansen, - Medicare Nurse Practitioner in Cleveland, OH