| Nicholas Gary Hanson, MD | |
|
24 S 1100 E Ste 310, Slc, UT 84102-1500 | |
| (801) 328-1260 | |
| (801) 350-4361 |
| Full Name | Nicholas Gary Hanson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 24 S 1100 E Ste 310, Slc, 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 |
|---|---|---|---|
| 1710149794 | NPI | - | NPPES |
| 10161981 | Other | PHYSICIANS DOB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 84392901205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mark's Hospital | Salt lake city, UT | Hospital |
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Salt Lake Regional Medical Center | Salt lake city, UT | Hospital |
| Lds Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpine Medical Group | 7416856109 | 12 |
| Entity Name | Alpine Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992713382 PECOS PAC ID: 7416856109 Enrollment ID: O20031231000610 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Gary Hanson, MD 24 S 1100 E Ste 310, Salt Lake City, UT 84102-1500 Ph: (801) 328-1260 | Nicholas Gary Hanson, MD 24 S 1100 E Ste 310, Slc, UT 84102-1500 Ph: (801) 328-1260 |
Dr. Kimberly Jo Davis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1174e Graystone Way 15, Slc, UT 84106 Phone: 801-486-0875 Fax: 801-486-0174 | |
Dan C. Henry Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 Foothill Dr, Slc, UT 84109 Phone: 801-486-3021 Fax: 801-485-6339 | |
John U Lawrence, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 34 S 500 E, Ste 202, Slc, UT 84102 Phone: 801-582-2011 | |
Daniel Payne, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 S Foothill Dr, Slc, UT 84109 Phone: 801-486-3021 |