Miss Tessa Nicole Hagen, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Kindred, North Dakota. Her current practice location is
55 1st Ave S, Kindred, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 641-0416.
Miss Tessa Nicole Hagen is licensed to practice in * (Not Available) (license number ) 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 1477972784.
Healthcare Provider's Profile
Full Name | Miss Tessa Nicole Hagen |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 55 1st Ave S, Kindred, North Dakota |
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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: 1477972784
- Provider Enumeration Date: 04/15/2014
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648585372
- Enrollment ID: I20150810002799
Medical Identifiers
Medical identifiers for Miss Tessa Nicole Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477972784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 1188 (North Dakota) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | 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. Miss Tessa Nicole Hagen 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 |
Miss Tessa Nicole Hagen, MOT, OTR/L 55 1st Ave S, Kindred, ND 58051-4027 Ph: (701) 641-0416 | Miss Tessa Nicole Hagen, MOT, OTR/L 55 1st Ave S, Kindred, ND 58051-4027 Ph: (701) 641-0416 |
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