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ERIC HANLEY
NPI 1750892055
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since October 13, 2017PECOS Enrolled
1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901(415) 459-5999 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eric Hanley NPPES

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

ERIC HANLEY (NPI 1750892055) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750892055
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERIC HANLEY
Location Address1330 LINCOLN AVE STE 201San Rafael, CA 94901-2142
Mailing Address1330 Lincoln Ave Ste 201San Rafael, CA 94901-2142
Phone(415) 459-5999
Sole ProprietorNo
Enumeration DateOctober 13, 2017
✔ NPI 1750892055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1330 LINCOLN AVE STE 201, San Rafael, CA 94901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Hanley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Eric Hanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.2 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JESSICA SANANES
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
FRANCES CAMERON
Marriage & Family Therapist
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
PRISCILLE SCHWARCZ-BESSON
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
MS. ANITA WHITELEY
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
KRISTIN ANDERSEN
Counselor (Mental Health)
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
MICHAEL KILIVRIS
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
KATALIN SZABO
Rehabilitation Counselor
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
SHANNON STALLONE
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Hanley's NPI number?

The NPI number for Eric Hanley is 1750892055. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Where is Eric Hanley located?

Eric Hanley practices at 1330 Lincoln Ave Ste 201, San Rafael, CA 94901. The listed phone number is (415) 459-5999.

What is Eric Hanley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eric Hanley enrolled in Medicare?

Yes. Eric Hanley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eric Hanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Hanley reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Hanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eric Hanley was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.