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Mary Lou Hanks, ATC

NPI 1366590499ActiveIndividual· Specialist/Technologist, Other· Grand Rapids, MI

Specialist/Technologist, Other (ATC) in Grand Rapids, Michigan, with an NPI issued in January 2007. Part D covered 22 prescriptions written in 2024, 73% of them generic.

Overview

NPI1366590499
StatusActive
Entity typeIndividual
CredentialATC
Sole proprietorYes
NPI issuedJan 8, 2007
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Specialist/Technologist, Other Primary246Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)22 · 22 30-day fills
Total drug cost$1,906
Generic share73% of claims

Medicare sources and data years

Other Specialist/Technologist, Other providers in Grand Rapids

All Specialist/Technologist, Other providers in Michigan