| Dr Dwayne Maxwell Hansen Jr, DO | |
|
381 E 4th N Ste 100, Rexburg, ID 83440-1684 | |
| (208) 656-8442 | |
| (208) 656-8453 |
| Full Name | Dr Dwayne Maxwell Hansen Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 8 Years |
| Location | 381 E 4th N Ste 100, Rexburg, 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 |
|---|---|---|---|
| 1871013938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | RL14661 (North Dakota) | Secondary |
| 208600000X | Surgery | O-1663 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Entity Name | Max Hansen Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497403760 PECOS PAC ID: 5395127112 Enrollment ID: O20220726003448 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dwayne Maxwell Hansen Jr, DO Po Box 185, Rexburg, ID 83440-0185 Ph: (208) 656-8442 | Dr Dwayne Maxwell Hansen Jr, DO 381 E 4th N Ste 100, Rexburg, ID 83440-1684 Ph: (208) 656-8442 |
Dr. Robert Louis Coray, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 859 S Yellowstone Hwy Ste 3301, Rexburg, ID 83440 Phone: 208-356-9086 Fax: 208-369-4498 | |
Dr. Dwayne M Hansen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 381 East 4th North, Ste 100, Rexburg, ID 83440 Phone: 208-656-8442 Fax: 208-656-8453 | |
Dr. Brian Wade Christensen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Madison Professional Park, Rexburg, ID 83440 Phone: 208-656-9008 Fax: 208-656-0999 |