| Tyler Hansen, DO | |
|
102 Doctors Dr, Dothan, AL 36301 | |
| (334) 793-8804 | |
| Not Available |
| Full Name | Tyler Hansen |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 11 Years |
| Location | 102 Doctors Dr, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1447644356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | OS18705 (Florida) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | DO.2055 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent's Ambulatory Care Inc | 2860411188 | 255 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Hansen, DO 4205 Belfort Rd, Ste 1100, Jacksonville, FL 32216-5876 Ph: (904) 450-8240 | Tyler Hansen, DO 102 Doctors Dr, Dothan, AL 36301 Ph: (334) 793-8804 |
Dr. Bonnie J. Dungan, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. Kelcey L Williams, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1736 E Main St, Dothan, AL 36301 Phone: 334-712-6333 Fax: 817-284-9859 | |
S M Monir Mohar, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2826 Ross Clark Cir, Dothan, AL 36301 Phone: 850-226-6801 Fax: 877-413-5104 |