DR. MARY CARONITI HANSEN D.O.
NPI 1467683243
General Practice in Laurel Fork, VA

Q: What is Mary Hansen's NPI number?

The NPI number for Mary Hansen is 1467683243. It was assigned to this individual provider in the NPPES registry on July 28, 2009. The provider is also known as Dr. Mary Catherine Caroniti D.O..

Q: What is Mary Hansen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Hansen was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2009PECOS EnrolledAccepts Medicare Assignment

14558 DANVILLE PIKE, LAUREL FORK, VA 24352(276) 398-2292(276) 398-3331 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2021, Mar 8, 2021, Dec 20, 2020 (3 updates tracked since 2020).

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About Dr. Mary Caroniti Hansen D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY CARONITI HANSEN D.O. (NPI 1467683243) is an individual general practice provider in Laurel Fork, Virginia, licensed in Virginia (0102203001) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1467683243

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. MARY CARONITI HANSENCredential: D.O.

Location Address14558 DANVILLE PIKELaurel Fork, VA 24352-3982

Mailing AddressPo Box 9Laurel Fork, VA 24352-0009 · (276) 398-2292 · Fax (276) 398-3331

Phone(276) 398-2292

Fax(276) 398-3331

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 28, 2009

Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1467683243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102203001

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X · License 0102203001 (VA)

14558 DANVILLE PIKE, Laurel Fork, VA 24352

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Other Names 1

Former Name (1)Dr. Mary Catherine Caroniti D.o.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Caroniti Hansen D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769610872

PECOS Enrollment IDI20210804000205

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA W WRIGHT PSYD

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