Dr Sandra Sue Smith Hanen, EDD in Minneapolis, MN - Medicare Clinical Psychologist Provider

Dr Sandra Sue Smith Hanen, EDD is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. She graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice River Lake Clinic Llc and her current practice location is 4323 E Lake St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 722-1003.

Dr Sandra Sue Smith Hanen is licensed to practice in Minnesota (license number LP2754) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750480679.

Contact Information

	Dr Sandra Sue Smith Hanen, EDD
	4323 E Lake St, Minneapolis, MN 55406-2307
	(612) 722-1003
	(612) 721-6336

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sandra Sue Smith Hanen
Gender	Female
Speciality	Clinical Psychologist
Experience	48 Years
Location	4323 E Lake St, Minneapolis, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Sandra Sue Smith Hanen graduated from medical school in 1976

NPI Data:

NPI Number: 1750480679
Provider Enumeration Date: 09/21/2006
Last Update Date: 03/12/2014

Medicare PECOS Information:

PECOS PAC ID: 8820037229
Enrollment ID: I20050426000501

Medical Identifiers

Medical identifiers for Dr Sandra Sue Smith Hanen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750480679	NPI	-	NPPES
100479	Other	MN	UCARE
6180090	Other	MN	MEDICA
064925M	Other	MN	BCBS
432747100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP2754 (Minnesota)	Primary
103TF0200X	Psychologist - Forensic	LP2754 (Minnesota)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	LP2754 (Minnesota)	Secondary
103TC1900X	Psychologist - Counseling	LP2754 (Minnesota)	Secondary
103TA0700X	Psychologist - Adult Development & Aging	LP2754 (Minnesota)	Secondary
103TF0000X	Psychologist - Family	LP2754 (Minnesota)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
River Lake Clinic Llc	3173749322	3

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 Sandra Sue Smith Hanen allows following entities to bill medicare on her behalf.

Entity Name	River Lake Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902932965 PECOS PAC ID: 3173749322 Enrollment ID: O20140723001701

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 Sandra Sue Smith Hanen 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 Sandra Sue Smith Hanen, EDD 4323 E Lake St, Minneapolis, MN 55406-2307 Ph: (612) 722-1003	Dr Sandra Sue Smith Hanen, EDD 4323 E Lake St, Minneapolis, MN 55406-2307 Ph: (612) 722-1003

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Dr Sandra Sue Smith Hanen, EDD - Medicare Psychologist in Minneapolis, MN