| Dr Mark T Hansen, MD | |
|
1350 N 500 E, Logan, UT 84341-2400 | |
| (435) 716-1950 | |
| Not Available |
| Full Name | Dr Mark T Hansen |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 27 Years |
| Location | 1350 N 500 E, Logan, Utah |
| 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 |
|---|---|---|---|
| 1689646507 | NPI | - | NPPES |
| 870591755HA1 | Other | UT | EMIA |
| 107008361102 | Other | UT | IHC |
| 344470 | Other | UT | DMBA |
| 48410 | Other | UT | PEHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 71681 (Tennessee) | Secondary |
| 208600000X | Surgery | 358614-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greeneville Community Hospital | Greeneville, TN | Hospital |
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Medical Associates Inc | 8123291739 | 423 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark T Hansen, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Dr Mark T Hansen, MD 1350 N 500 E, Logan, UT 84341-2400 Ph: (435) 716-1950 |
Gregg Arthur Marshall, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1950 | |
Dr. Logan Reed Mckenna, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1950 | |
Dr. Jessica Reynolds, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1950 | |
Lee S Broadbent, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N, Suite D, Logan, UT 84341 Phone: 435-752-7122 Fax: 435-755-9579 | |
Allan David Anderson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1950 | |
Justin Peterson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Budge General Surgery, 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1950 Fax: 435-716-1950 |