Ms Cassidy Jae Hanson, PA-C is a medicare enrolled "Physician Assistant" in Rock, Michigan. Her current practice location is
4289 E Maple Ridge 37th Rd, Rock, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 420-4759.
Ms Cassidy Jae Hanson is licensed to practice in Michigan (license number 5601012721) 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 1972339166.
Provider's Profile
Full Name | Ms Cassidy Jae Hanson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 4289 E Maple Ridge 37th Rd, Rock, Michigan |
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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: 1972339166
- Provider Enumeration Date: 09/12/2024
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355882853
- Enrollment ID: I20240924004431
Medical Identifiers
Medical identifiers for Ms Cassidy Jae Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972339166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601012721 (Michigan) | Primary |
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. Ms Cassidy Jae 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 |
Ms Cassidy Jae Hanson, PA-C 545 County Road Hq, Marquette, MI 49855-8855 Ph: (906) 273-0072 | Ms Cassidy Jae Hanson, PA-C 4289 E Maple Ridge 37th Rd, Rock, MI 49880-9582 Ph: (906) 420-4759 |
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