Dr Rani Hantla, PSYD in Gilbert, AZ - Medicare Psychologist Provider

Dr Rani Hantla, PSYD is a medicare enrolled "Psychologist - Health Service" provider in Gilbert, Arizona. Her current practice location is 2946 E Banner Gateway Dr, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 634-3454.

Dr Rani Hantla is licensed to practice in Arizona (license number PSY-005634) 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 1962196253.

Contact Information

	Dr Rani Hantla, PSYD
	2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165
	(480) 634-3454
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Rani Hantla
Gender	Female
Speciality	Psychologist - Health Service
Location	2946 E Banner Gateway Dr, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962196253
Provider Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3971965328
Enrollment ID: I20230816002802

Medical Identifiers

Medical identifiers for Dr Rani Hantla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962196253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0100X	Psychologist - Health Service	PSY-005634 (Arizona)	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. Dr Rani Hantla allows following entities to bill medicare on her behalf.

Entity Name	Banner Cancer Center Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224

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. Dr Rani Hantla 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
Dr Rani Hantla, PSYD 1640 W Orchid Ln, Chandler, AZ 85224-4081 Ph: (480) 634-3454	Dr Rani Hantla, PSYD 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 Ph: (480) 634-3454

Reviews and Comments

Psychologist in Gilbert, AZ

Clarisse Kamgaing, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2442 E. Eleana Lane, Gilbert, AZ 85298 Phone: 480-247-9993 Fax: 480-719-8105
Karen N Horde, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 643 E Raven Way, Gilbert, AZ 85297 Phone: 619-454-8975
Dr. Raymonda D Matheka, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295 Phone: 480-239-8167
Dr. Joanne Marie Quinn Drenth, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 S Greenfield Rd, Gilbert, AZ 85296 Phone: 480-813-1770 Fax: 480-813-7279
Mrs. Ann Neatherton, MA CERTIFIED SCHPSYC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 140 S Gilbert Rd, Gilbert, AZ 85296 Phone: 480-917-0117
Dr. Jessica Hartman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3285 S Val Vista Dr, Gilbert, AZ 85297 Phone: 480-397-2943
Dr. Patricia Bernasconi, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4380 E Los Altos Dr, Gilbert, AZ 85297 Phone: 480-318-5797

Dr Rani Hantla, PSYD - Medicare Psychologist in Gilbert, AZ