Dr Michael Edward Alan Hanlon, PHD in Roseville, CA - Medicare Psychologist Provider

Dr Michael Edward Alan Hanlon, PHD is a medicare enrolled "Psychologist" provider in Roseville, California. His current practice location is 1660 E Roseville Pkwy, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 973-5300.

Dr Michael Edward Alan Hanlon is licensed to practice in California (license number PSY17761) 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 1174688303.

Contact Information

	Dr Michael Edward Alan Hanlon, PHD
	1660 E Roseville Pkwy, Roseville, CA 95661-3988
	(916) 973-5300
	Not Available

Healthcare Provider's Profile

Full Name	Dr Michael Edward Alan Hanlon
Gender	Male
Speciality	Psychologist
Location	1660 E Roseville Pkwy, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174688303
Provider Enumeration Date: 12/27/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9335035799
Enrollment ID: I20040224000557

Medical Identifiers

Medical identifiers for Dr Michael Edward Alan Hanlon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174688303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY17761 (California)	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 Michael Edward Alan Hanlon allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Michael Edward Alan Hanlon, PHD 1660 E Roseville Pkwy, Roseville, CA 95661-3988 Ph: (916) 973-5300	Dr Michael Edward Alan Hanlon, PHD 1660 E Roseville Pkwy, Roseville, CA 95661-3988 Ph: (916) 973-5300

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Psychologist in Roseville, CA

Dr. Kenneth Alan Logan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661 Phone: 916-789-7082 Fax: 916-797-8840
Dr. David Zuccolotto, PSYCHOLOGIST Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2110 Professional Dr, Suite 120, Roseville, CA 95661 Phone: 916-536-2500
Olivia Rold, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2330 Professional Dr Ste 100, Roseville, CA 95661 Phone: 279-201-9612
Dr. Michael A. Molyn, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Valley Psychological Center, 1891 E. Roseville Parkway, Suite 100, Roseville, CA 95661 Phone: 916-870-4484
Miss Michelle Marie Cox, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2412 Professional Dr, Roseville, CA 95661 Phone: 858-361-1372
Dr. Heather Jane Forde, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 Reserve Dr Ste 205, Roseville, CA 95678 Phone: 916-780-1070
Diane J Huisinga, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 729 Sunrise Ave Ste 101, Roseville, CA 95661 Phone: 916-771-7852 Fax: 530-622-2793

Dr Michael Edward Alan Hanlon, PHD - Medicare Psychologist in Roseville, CA

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Ensign acquires nine skilled nursing, assisted living facilities from Careage Management

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Ortho Development receives FDA clearance for patented Knee Articulating Spacer Molds

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Ensign acquires nine skilled nursing, assisted living facilities from Careage Management

Genetic testing getting better at identifying testicular cancer risk

Ortho Development receives FDA clearance for patented Knee Articulating Spacer Molds

Psychologist in Roseville, CA