Dr David William Hansen, MD in Syracuse, NY

Dr David William Hansen, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Syracuse, New York. His current practice location is 3229 E. Genesee St, Suite 1, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-5726.

Dr David William Hansen is licensed to practice in New York (license number 292193) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003105768.

Contact Information

	Dr David William Hansen, MD
	3229 E. Genesee St, Suite 1, Syracuse, NY 13214
	(315) 464-5726
	(315) 464-2510

Map and Direction

Physician's Profile

Full Name	Dr David William Hansen
Gender	Male
Speciality	Pediatrics - Pediatric Endocrinology
Location	3229 E. Genesee St, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003105768
Provider Enumeration Date: 04/04/2011
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 4587880901
Enrollment ID: I20180628000968

Medical Identifiers

Medical identifiers for Dr David William Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003105768	NPI	-	NPPES
1003105768	Medicaid	WI
05233927	Medicaid	NY
1003105768	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	60409 (Wisconsin)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	01075810A (Indiana)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	292193 (New York)	Primary

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. Dr David William Hansen allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Service Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483

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. Dr David William 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
Dr David William Hansen, MD 725 East Adams St, 5th Fl, Syracuse, NY 13210 Ph: (315) 464-5726	Dr David William Hansen, MD 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Ph: (315) 464-5726

Reviews and Comments

Pediatrics Doctors in Syracuse, NY

Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420
Steven David Blatt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030

Dr David William Hansen, MD - Medicare Pediatrics in Syracuse, NY