Derick William Hansen, DPT in Roseville, MN - Medicare Physical Therapist Provider

Derick William Hansen, DPT is a medicare enrolled "Physical Therapist" provider in Roseville, Minnesota. His current practice location is 1686 Lexington Ave N, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (877) 609-0123.

Derick William Hansen is licensed to practice in Minnesota (license number 13095) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568156008.

Contact Information

	Derick William Hansen, DPT
	1686 Lexington Ave N, Roseville, MN 55113-6514
	(877) 609-0123
	(888) 425-0398

Map and Direction

Healthcare Provider's Profile

Full Name	Derick William Hansen
Gender	Male
Speciality	Physical Therapist
Location	1686 Lexington Ave N, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568156008
Provider Enumeration Date: 06/07/2023
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 5890155485
Enrollment ID: I20230713003620

Medical Identifiers

Medical identifiers for Derick William Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568156008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13095 (Minnesota)	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. Derick William Hansen allows following entities to bill medicare on his behalf.

Provider Name	Infinite Health Collaborative Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574

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. Derick William 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
Derick William Hansen, DPT 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600	Derick William Hansen, DPT 1686 Lexington Ave N, Roseville, MN 55113-6514 Ph: (877) 609-0123

Reviews and Comments

Physical Therapist in Roseville, MN

Mr. Peter Gering Skupeko, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Eldridge Ave W, Roseville, MN 55113 Phone: 651-639-1615 Fax: 651-639-1615
David Anderson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1955 County Road B2 W, Roseville, MN 55113 Phone: 651-697-1313
Amy Sue Andersen, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1970 Oakcrest Ave, Suite 107, Roseville, MN 55113 Phone: 651-636-6330
Rebecca Mae Gilbertson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2945 Lincoln Dr, Roseville, MN 55113 Phone: 651-628-3000
Mr. Frederick Carl Hjelm, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-638-0080 Fax: 651-638-0082
Grady Glynn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3050 Centre Pointe Dr, Suite Number 200, Roseville, MN 55113 Phone: 651-631-4242
Nicholas Daniel Biondich, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 Lexington Ave N, 286, Roseville, MN 55113 Phone: 952-835-4512

Derick William Hansen, DPT - Medicare Physical Therapist in Roseville, MN