Sophie S Hanna, M.D.
Individual provider Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Mars, PA
NPI 1275585481 · NPPES record last updated Dec 10, 2012
Key facts
- NPI
- 1275585481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- License
- MD-425560 (PA)
- Practice address
- 943 Route 228
Mars, PA 16046-2325 - Phone
- (724) 591-5583
- Fax
- (724) 591-5563
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
943 Route 228
Mars, PA 16046-2325
Phone (724) 591-5583
Hospital & facility affiliations
- Upmc Passavant
- Independence Health System Butler Memorial Hospita
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060609000013 | PA | Practitioner - Pain Management |
3072525138 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-425560 | PA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Pain Clinic, PC | Pain Medicine | Current |
Accepting new patients |
Locations
943 Route 228
Mars, PA 16046
Phone (724) 591-5583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD-425560 | PA | Yes |
Addresses
Primary practice location
943 Route 228
Mars, PA 16046-2325
Mailing address
943 Route 228
Mars, PA 16046-2325
Phone (724) 591-5583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101660063 0002 | Medicaid | PA |
Other providers in Mars, PA
- Joseph Jacob Grice
- Annmarie Grove
- Megan Jane Haller
- Maureen Elizabeth Hammill
- Hanger Prosthetics & Orthotics, Inc.
- Alisha Harnett
- Harris Anesthesia
- Amanda Nikolich Harvey
- Caran Hayes
- Jaclyn Herring
All providers in Mars, PA · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.