Leslie Hagenstein, DNP, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Marbleton, Wyoming. Her current practice location is
103 W 3rd Street, New Physical Address, Marbleton, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 276-3306.
Leslie Hagenstein is licensed to practice in Wyoming (license number 8665.0048) 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 1093799132.
Provider's Profile
| Full Name | Leslie Hagenstein |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 103 W 3rd Street, Marbleton, Wyoming |
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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: 1093799132
- Provider Enumeration Date: 12/02/2005
- Last Update Date: 03/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 4981600624
- Enrollment ID: I20061019000596
Medical Identifiers
Medical identifiers for Leslie Hagenstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093799132 | NPI | - | NPPES |
| 124348900 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 8665.0048 (Wyoming) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 340 (Alaska) | Secondary |
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. Leslie Hagenstein allows following entities to bill medicare on her behalf.
| Entity Name | Sublette County Rural Health Care District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194776930
PECOS PAC ID: 3476535014
Enrollment ID: O20050708000681 |
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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. Leslie Hagenstein 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 |
|---|
Leslie Hagenstein, DNP, APRN, FNP-BC
Po Box E, 9615 Hwy 191,
Pinedale, WY 82941-3040
Ph: (307) 231-9562 | Leslie Hagenstein, DNP, APRN, FNP-BC
103 W 3rd Street, New Physical Address,
Marbleton, WY 83113
Ph: (307) 276-3306 |
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