| David L Hansen, MD | |
|
5000 Prairie Rose Dr, Roscoe, IL 61073-7792 | |
| (815) 971-2000 | |
| (815) 971-9417 |
| Full Name | David L Hansen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 47 Years |
| Location | 5000 Prairie Rose Dr, Roscoe, Illinois |
| 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 |
|---|---|---|---|
| 1689784878 | NPI | - | NPPES |
| 036062691 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-062691 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rockford V N A Hospice | Rockford, IL | Hospice |
| Javon Bea Hospital | Rockford, IL | Hospital |
| Swedish American Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rockford Health Physicians | 2567374036 | 362 |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Mailing Address | Practice Location Address |
|---|---|
| David L Hansen, MD 5000 Prairie Rose Dr, Roscoe, IL 61073-7792 Ph: (815) 971-2000 | David L Hansen, MD 5000 Prairie Rose Dr, Roscoe, IL 61073-7792 Ph: (815) 971-2000 |
Robert R Lisek, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073 Phone: 815-525-4500 Fax: 815-525-4505 | |
Dusica Sekulic, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5000 Prairie Rose Dr, Roscoe, IL 61073 Phone: 815-971-2000 | |
Dr. Afoma Phoebe Ezidinma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5605 E Rockton Rd, Northpointe Clinic, Roscoe, IL 61073 Phone: 815-525-4500 Fax: 815-525-4505 |