Spencer Mazorra Hansen, MD in Provo, UT - Medicare Physical Medicine & Rehabilitation

Spencer Mazorra Hansen, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Provo, Utah. His current practice location is 395 W Cougar Blvd Ste 502, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-8818.

Spencer Mazorra Hansen is licensed to practice in Utah (license number 13959664-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174143200.

Contact Information

	Spencer Mazorra Hansen, MD
	395 W Cougar Blvd Ste 502, Provo, UT 84604-3323
	(801) 357-8818
	(801) 357-8817

Map and Direction

Physician's Profile

Full Name	Spencer Mazorra Hansen
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	395 W Cougar Blvd Ste 502, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174143200
Provider Enumeration Date: 04/18/2020
Last Update Date: 03/14/2025

Medicare PECOS Information:

PECOS PAC ID: 7315482965
Enrollment ID: I20240708004040

Medical Identifiers

Medical identifiers for Spencer Mazorra Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174143200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	13959664-1205 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Spencer Mazorra Hansen allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Spencer Mazorra Hansen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Spencer Mazorra Hansen, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (916) 248-6562	Spencer Mazorra Hansen, MD 395 W Cougar Blvd Ste 502, Provo, UT 84604-3323 Ph: (801) 357-8818

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Provo, UT

Nicholas Brown, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 802, Provo, UT 84604 Phone: 801-357-8818 Fax: 801-357-8817
Dr. Jody Quick Wixom, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 410, Provo, UT 84604 Phone: 801-357-8818
Claire A Gross, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W Ste 201, Provo, UT 84604 Phone: 801-357-1200
Ronald Gary Duerksen, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1055 North 300 West, Suite 416, Provo, UT 84604 Phone: 801-357-7770 Fax: 801-357-7639
Brian K Olenslager, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3585 N University Ave, Ste 150, Provo, UT 84604 Phone: 801-356-6100 Fax: 801-356-2113
Robin Ockey, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W, Provo, UT 84604 Phone: 801-357-8310

Spencer Mazorra Hansen, MD - Medicare Physical Medicine & Rehabilitation in Provo, UT