| Mr Bruce M Hansen, DO | |
|
1055 N. Curtis Road, Boise, ID 83706-1309 | |
| (208) 367-2559 | |
| (770) 701-6675 |
| Full Name | Mr Bruce M Hansen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 21 Years |
| Location | 1055 N. Curtis Road, Boise, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699941021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 02003137A (Indiana) | Secondary |
| 207L00000X | Anesthesiology | 9528888-1204 (Utah) | Secondary |
| 207L00000X | Anesthesiology | O-0636 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| West Valley Medical Center | Caldwell, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Alphonsus Professional Medical Services Llc | 7214849751 | 124 |
| West Valley Medical Associates Inc | 9931467289 | 28 |
| Entity Name | St Alphonsus Professional Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
| Entity Name | Boise Anesthesia, P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740239599 PECOS PAC ID: 8426960642 Enrollment ID: O20041022000230 |
| Entity Name | West Valley Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164936720 PECOS PAC ID: 9931467289 Enrollment ID: O20171214002975 |
| Entity Name | Anesthesia Consulting Partners Idaho PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568241362 PECOS PAC ID: 5092164806 Enrollment ID: O20231205002846 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bruce M Hansen, DO Po Box 190930, Boise, ID 83719-0930 Ph: (208) 302-9342 | Mr Bruce M Hansen, DO 1055 N. Curtis Road, Boise, ID 83706-1309 Ph: (208) 367-2559 |
Kayla Noreen Luke, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3131 |
John Mather Hine, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 |
Steven J Love, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 |
Dr. Tomasz Adam Murawski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-5170 Fax: 208-367-5180 |
Dr. Timothy A Bialobrzeski, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 338 E Bannock St, Boise, ID 83712 Phone: 208-336-0895 |
Dr. Bradley P Bretz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2537 W State St Ste 200, Boise, ID 83702 Phone: 208-336-0895 |
Brent Kenner Childers, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 |