Clyde Arthur Hanson, DO in St Maries, ID - Medicare Family Practice

Clyde Arthur Hanson, DO is a medicare enrolled "Emergency Medicine" physician in St Maries, Idaho. He graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Syringa Health And Wellness Llc and his current practice location is 622 W College Ave Ste 2, St Maries, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 568-7800.

Clyde Arthur Hanson is licensed to practice in Idaho (license number O-231) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760540801.

Contact Information

	Clyde Arthur Hanson, DO
	622 W College Ave Ste 2, St Maries, ID 83861-1822
	(208) 568-7800
	(877) 902-7131

Map and Direction

Physician's Profile

Full Name	Clyde Arthur Hanson
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	622 W College Ave Ste 2, St Maries, 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.

Medical Education and Training:

Clyde Arthur Hanson graduated from medical school in 1988

NPI Data:

NPI Number: 1760540801
Provider Enumeration Date: 12/04/2006
Last Update Date: 02/19/2026

Medicare PECOS Information:

PECOS PAC ID: 0648356055
Enrollment ID: I20230202003188

Medical Identifiers

Medical identifiers for Clyde Arthur Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760540801	NPI	-	NPPES
805770200	Medicaid	ID
000010028719	Other	ID	REGENCE BS IDAHO
8434847	Medicaid	WA
141315	Other	WA	WA LABOR & INDUSTRIES
601415900	Other		DEEIOC
S3168	Other	ID	BC OF ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OP60768791 (Washington)	Secondary
207P00000X	Emergency Medicine	O-231 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Benewah Community Hospital	St maries, ID	Hospital
Northwest Specialty Hospital	Post falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Syringa Health And Wellness Llc	5395124622	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clyde Arthur Hanson allows following entities to bill medicare on his behalf.

Entity Name	Syringa Health And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588309900 PECOS PAC ID: 5395124622 Enrollment ID: O20220616002199

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. Clyde Arthur Hanson 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
Clyde Arthur Hanson, DO 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2498	Clyde Arthur Hanson, DO 622 W College Ave Ste 2, St Maries, ID 83861-1822 Ph: (208) 568-7800

Reviews and Comments

Emergency Medicine Doctors in St Maries, ID

Dr. Craig Austin Burns, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 S 7th St, St Maries, ID 83861 Phone: 208-245-5551 Fax: 208-245-5246
Dr. William Scott Spence, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 S 7th St Ste 300, St Maries, ID 83861 Phone: 208-245-2591 Fax: 208-245-5246
Dr. Daniel Cooper Wester, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 S 7th St, St Maries, ID 83861 Phone: 208-245-5551 Fax: 208-245-5246
Richard K Thurston, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 229 S 7th Street, St Maries, ID 83861 Phone: 208-245-5551
John Richard Katovich Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 229 S 7th Street, St Maries, ID 83861 Phone: 208-245-5551 Fax: 208-245-9303

Clyde Arthur Hanson, DO - Medicare Family Practice in St Maries, ID