Kinsley Sara Hackman, SLP is a medicare enrolled "Speech-language Pathologist" provider in Wabasha, Minnesota. Her current practice location is
1200 Grant Blvd W, Wabasha, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 565-5558.
Kinsley Sara Hackman is licensed to practice in Minnesota (license number 10586) 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 1457936627.
Healthcare Provider's Profile
| Full Name | Kinsley Sara Hackman |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1200 Grant Blvd W, Wabasha, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457936627
- Provider Enumeration Date: 03/10/2021
- Last Update Date: 03/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597127936
- Enrollment ID: I20230816002427
Medical Identifiers
Medical identifiers for Kinsley Sara Hackman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457936627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 10586 (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. Kinsley Sara Hackman allows following entities to bill medicare on her behalf.
| Provider Name | Divine Savior Healthcare Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909 |
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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. Kinsley Sara Hackman 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 |
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Kinsley Sara Hackman, SLP
1200 Grant Blvd W,
Wabasha, MN 55981-1042
Ph: (651) 565-4531 | Kinsley Sara Hackman, SLP
1200 Grant Blvd W,
Wabasha, MN 55981-1042
Ph: (651) 565-5558 |
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