Connie L Hansen, OT in Madison, WI - Medicare Occupational Therapist Provider

Connie L Hansen, OT is a medicare enrolled "Occupational Therapist" provider in Madison, Wisconsin. Her current practice location is 1313 Fish Hatchery Rd, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 260-6004.

Connie L Hansen is licensed to practice in Wisconsin (license number 935026) 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 1841468055.

Contact Information

	Connie L Hansen, OT
	1313 Fish Hatchery Rd, Madison, WI 53715-1911
	(608) 260-6004
	(608) 283-7160

Map and Direction

Healthcare Provider's Profile

Full Name	Connie L Hansen
Gender	Female
Speciality	Occupational Therapist
Location	1313 Fish Hatchery Rd, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841468055
Provider Enumeration Date: 02/11/2008
Last Update Date: 12/18/2020

Medicare PECOS Information:

PECOS PAC ID: 9032501689
Enrollment ID: I20220112000331

Medical Identifiers

Medical identifiers for Connie L Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841468055	NPI	-	NPPES
1841468055	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	935026 (Wisconsin)	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. Connie L Hansen allows following entities to bill medicare on her behalf.

Provider Name	Dean Health Systems Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Connie L 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
Connie L Hansen, OT 1313 Fish Hatchery Rd, Madison, WI 53715-1911 Ph: (608) 260-6004	Connie L Hansen, OT 1313 Fish Hatchery Rd, Madison, WI 53715-1911 Ph: (608) 260-6004

Reviews and Comments

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Connie L Hansen, OT - Medicare Occupational Therapist in Madison, WI