| Alicia Hanson, | |
|
17404 Burke St Ste 102, Omaha, NE 68118-2242 | |
| (531) 466-4260 | |
| (531) 466-4304 |
| Full Name | Alicia Hanson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 17404 Burke St Ste 102, Omaha, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730580051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 126364 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | 1849 (Nebraska) | Primary |
| 363A00000X | Physician Assistant | 0932 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Fremont Health | Fremont, NE | Hospital |
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Chi Health Mercy Council Bluffs | Council bluffs, IA | Hospital |
| Chi Health Creighton University Medical Center - B | Omaha, NE | Hospital |
| Chi Health Immanuel | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vascular And Interventional Radiology Of Siouxland | 7113330663 | 24 |
| Unmc Physicians | 6002728391 | 1490 |
| Entity Name | Unmc Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664 |
| Entity Name | Vascular & Interventional Radiology of Siouxland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225636129 PECOS PAC ID: 7113330663 Enrollment ID: O20210224001838 |
| Entity Name | Sage Medical Prof LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588156657 PECOS PAC ID: 4385992619 Enrollment ID: O20230523000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Hanson, 17404 Burke St Ste 102, Omaha, NE 68118-2242 Ph: (531) 466-4260 | Alicia Hanson, 17404 Burke St Ste 102, Omaha, NE 68118-2242 Ph: (531) 466-4260 |
Neil C Jouvenat Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4242 Farnam St Ste 650, Omaha, NE 68131 Phone: 402-559-8600 |
Mr. Marty Paul Ussery Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 N 162nd Ave Ste 300, Omaha, NE 68118 Phone: 402-354-1200 Fax: 402-354-1205 |
Dominique Merle Mack, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1813 N 73rd St, Omaha, NE 68114 Phone: 402-991-5070 |
Mayle Owen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16901 Lakeside Hills Ct, Omaha, NE 68130 Phone: 855-524-4001 Fax: 402-717-7340 |
Abigail Marie Frick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7710 Mercy Rd, Omaha, NE 68124 Phone: 402-417-0528 |
Jennifer M Vaughn, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St, Omaha, NE 68131 Phone: 402-449-4590 |
Karen R Schrader, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4015 Fax: 402-559-8715 |