| Gregory R Hanson, MD | |
|
500 Osborne Rd Ne, Suite 120, Fridley, MN 55432-2765 | |
| (763) 783-8582 | |
| (763) 783-8616 |
| Full Name | Gregory R Hanson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 500 Osborne Rd Ne, Fridley, Minnesota |
| 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 |
|---|---|---|---|
| 1699881748 | NPI | - | NPPES |
| P00436573 | Other | MN | RR MEDICARE |
| 601125100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 49996 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minnesota Urology Pa | 0840183984 | 73 |
| Entity Name | Minnesota Urology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912971912 PECOS PAC ID: 0840183984 Enrollment ID: O20040204000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory R Hanson, MD 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 Ph: (651) 999-6800 | Gregory R Hanson, MD 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432-2765 Ph: (763) 783-8582 |
Hoo Yin Wong, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432 Phone: 763-783-8582 Fax: 763-783-8616 | |
David John Streitz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 240, Fridley, MN 55432 Phone: 763-783-8582 Fax: 763-783-8616 | |
Joseph W. Akornor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432 Phone: 651-999-6800 Fax: 651-999-6830 | |
Mrs. Jyothi Bhanu Kesha, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 240, Fridley, MN 55432 Phone: 763-783-8582 Fax: 763-783-8616 | |
Dr. Michael Long Tran, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5963 | |
Mr. Lee Baumgarten, Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 120, Fridley, MN 55432 Phone: 651-999-6800 Fax: 651-999-6970 |