Avon I Hansen, is a medicare enrolled "Physician Assistant" physician in Kent, Washington. Her current practice location is
222 State Ave N, Kent, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 372-7788.
Avon I Hansen is licensed to practice in Washington (license number PA10004255) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356367155.
Physician's Profile
Full Name | Avon I Hansen |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 222 State Ave N, Kent, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356367155
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 03/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698768000
- Enrollment ID: I20150924001395
Medical Identifiers
Medical identifiers for Avon I Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356367155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA00749 (Oregon) | Secondary |
363A00000X | Physician Assistant | (California) | Secondary |
363A00000X | Physician Assistant | PA.0003815 (Colorado) | Secondary |
363AM0700X | Physician Assistant - Medical | PA10004255 (Washington) | Secondary |
363A00000X | Physician Assistant | PA10004255 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avon I Hansen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Avon I Hansen, 222 State Ave N, Kent, WA 98030-4544 Ph: (253) 372-7788 | Avon I Hansen, 222 State Ave N, Kent, WA 98030-4544 Ph: (253) 372-7788 |
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