Mariya M. Hanneman, PA-C
NPI 1265764112ActiveIndividual· Physician Assistant· Charlotte, NC
Physician Assistant (PA-C) with Fastmed PC, practicing in Charlotte, North Carolina. In 2024 Medicare paid $8,697 for 96 patients, and Part D covered 246 of their prescriptions, 89% of them generic.
Overview
| NPI | 1265764112 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 3, 2010 |
| Last updated in NPPES | Oct 16, 2025 |
| Certified by provider | Oct 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-02169 | NC |
| Physician Assistant, Medical | 363AM0700X | 0010-02169 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 202 across 32 procedure codes |
| Paid by Medicare | $8,697 |
Part D prescriptions in 2024
| Prescriptions (claims) | 246 · 255 30-day fills |
|---|---|
| Patients | 166 |
| Total drug cost | $2,882 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Fastmed PCRaleigh, NC · 169 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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