| Jeffrey Niels Hansen, DO | |
|
560 W 465 N Ste 604, Providence, UT 84332-8006 | |
| (435) 753-1600 | |
| (435) 753-9521 |
| Full Name | Jeffrey Niels Hansen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 9 Years |
| Location | 560 W 465 N Ste 604, Providence, 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 |
|---|---|---|---|
| 1356517148 | NPI | - | NPPES |
| 1356517148 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 14253884-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Logan Regional Hospital | Logan, UT | Hospital |
| Cache Valley Hospital | North logan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valdosta Anesthesia Associates, P.c. | 0941296636 | 40 |
| Interwest Anesthesia Associates Llc | 0042293359 | 27 |
| Entity Name | Valdosta Anesthesia Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134148208 PECOS PAC ID: 0941296636 Enrollment ID: O20040420001277 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Niels Hansen, DO 560 W 465 N Ste 604, Providence, UT 84332-8006 Ph: (435) 753-1600 | Jeffrey Niels Hansen, DO 560 W 465 N Ste 604, Providence, UT 84332-8006 Ph: (435) 753-1600 |
Jon R Robison, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521 | |
Dr. Michael James Grover, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521 | |
Joshua Tyler Christiansen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521 | |
Jacob Robinson, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 | |
Gregory J Allred, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 453-753-9521 | |
Steven John Weber, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 | |
Shawn M Nelson, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521 |