| Joel Wallace Hanson, MD | |
|
750 N Freedom Blvd, Provo, UT 84601-1677 | |
| (801) 373-4760 | |
| Not Available |
| Full Name | Joel Wallace Hanson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 36 Years |
| Location | 750 N Freedom Blvd, Provo, 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 |
|---|---|---|---|
| 1619076205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 185223-1205 (Utah) | Primary |
| Entity Name | Uhs Of Provo Canyon Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457617409 PECOS PAC ID: 8729250543 Enrollment ID: O20121015000587 |
| Entity Name | Altium Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235787870 PECOS PAC ID: 8729495692 Enrollment ID: O20210322002445 |
| Entity Name | Neurohealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831891316 PECOS PAC ID: 8325401250 Enrollment ID: O20230825000678 |
| Entity Name | Gn Giles Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427205764 PECOS PAC ID: 8224491733 Enrollment ID: O20230831001544 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Wallace Hanson, MD 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Joel Wallace Hanson, MD 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 |
Edward Leslie Kelly, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4225 | |
Brent L Griffin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542 | |
Aaron William Sanders, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 601, Provo, UT 84604 Phone: 801-357-7525 | |
Sam J Coates, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542 | |
Dr. Rodney A Cheal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 | |
Ms. Madhumathy Gundlapalli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 | |
Marianela Rosales Gerpe, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4215 |