Jeremy R Hansen, PT in Evansville, IN - Medicare Physical Therapist Provider

Jeremy R Hansen, PT is a medicare enrolled "Physical Therapist" provider in Evansville, Indiana. His current practice location is 225 Crosslake Dr, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 477-1558.

Jeremy R Hansen is licensed to practice in Indiana (license number 05011316A) 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 1457783391.

Contact Information

	Jeremy R Hansen, PT
	225 Crosslake Dr, Evansville, IN 47715-8198
	(812) 477-1558
	(812) 474-2296

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy R Hansen
Gender	Male
Speciality	Physical Therapist
Location	225 Crosslake Dr, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457783391
Provider Enumeration Date: 08/02/2013
Last Update Date: 02/14/2014

Medicare PECOS Information:

PECOS PAC ID: 5698918779
Enrollment ID: I20230803003193

Medical Identifiers

Medical identifiers for Jeremy R Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457783391	NPI	-	NPPES
000000845434	Other	IN	ANTHEM BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	006252 (Kentucky)	Secondary
225100000X	Physical Therapist	05011316A (Indiana)	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. Jeremy R Hansen allows following entities to bill medicare on his behalf.

Provider Name	Empowerme Rehabilitation Kentucky, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275166696 PECOS PAC ID: 1850729211 Enrollment ID: O20200402002590

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. Jeremy R 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
Jeremy R Hansen, PT 7300 E Indiana St, Suite 102, Evansville, IN 47715-2794 Ph: (812) 476-0409	Jeremy R Hansen, PT 225 Crosslake Dr, Evansville, IN 47715-8198 Ph: (812) 477-1558

Reviews and Comments

Physical Therapist in Evansville, IN

Conner J Zuber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 Fax: 812-474-2296
Arnaldo Santana Rodriguez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558
Ricky Kenneth Lockard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Rosenberger Ave, Evansville, IN 47712 Phone: 812-476-7000
Suzanne M Flamion, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14020 Old State Rd Ste D100, Evansville, IN 47725 Phone: 812-469-4770
Kaylan Seng, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Bellemeade Ave, Evansville, IN 47714 Phone: 812-479-1411
Kayla Marie Lydon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5625 Pearl Dr Ste 100, Evansville, IN 47712 Phone: 812-759-7493 Fax: 812-401-2346
Katherine E Garcia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Interchange Rd S Ste A, Evansville, IN 47715 Phone: 812-477-5000 Fax: 812-477-5002

Jeremy R Hansen, PT - Medicare Physical Therapist in Evansville, IN