Ms Cassidy Jae Hanson, PA-C is a
Physician Assistant based in Rock, Michigan. Ms Cassidy Jae Hanson is licensed to practice in Michigan (license number 5601012721) and her current practice location is
4289 E Maple Ridge 37th Rd, Rock, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 420-4759.
NPI number for Ms Cassidy Jae Hanson is 1972339166 and her current mailing address is 545 County Road Hq, Marquette, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972339166
- Provider Enumeration Date: 09/12/2024
- Last Update Date: 09/26/2024
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
NOT enrolled with medicare and thus cannot 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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