| Jeffrey D Hancock, MD | |
|
380 Walker Dr, Rexburg, ID 83440-1657 | |
| (208) 356-9559 | |
| Not Available |
| Full Name | Jeffrey D Hancock |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 25 Years |
| Location | 380 Walker Dr, 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 |
|---|---|---|---|
| 1265637573 | NPI | - | NPPES |
| 000010163793 | Other | ID | BLUE SHIELD |
| 8J950 | Other | ID | BLUE CROSS |
| 807823000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5755112-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Teton Valley Hospital | Driggs, ID | Hospital |
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Hancock, MD 1707 W 2175 S, Syracuse, UT 84075-8565 Ph: (801) 725-0280 | Jeffrey D Hancock, MD 380 Walker Dr, Rexburg, ID 83440-1657 Ph: (208) 356-9559 |
Jason Ern Hymas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8440 | |
Dr. Robert Curtis Lofgran, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 Professional Plz Ste 202, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8440 |