| Andrew Hansen, PA-C | |
|
3448 S 3200 W, West Valley City, UT 84119-2628 | |
| (801) 359-2256 | |
| (801) 364-4392 |
| Full Name | Andrew Hansen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 3448 S 3200 W, West Valley City, 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 |
|---|---|---|---|
| 1831646843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13933798-1206 (Utah) | Primary |
| 363A00000X | Physician Assistant | PA56261 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Confederated Tribes Of The Goshute Reservation | 0042451650 | 58 |
| Entity Name | Confederated Tribes of the Goshute Reservation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750510277 PECOS PAC ID: 0042451650 Enrollment ID: O20130724000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Hansen, PA-C 13594 S Heather Daisy Dr, Herriman, UT 84096-3300 Ph: (661) 204-6732 | Andrew Hansen, PA-C 3448 S 3200 W, West Valley City, UT 84119-2628 Ph: (801) 359-2256 |
Miss Natalie Evans Dahle, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3740 |
Kate Utley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5754 W Settlers Camp Way Apt 407, West Valley City, UT 84128 Phone: 801-643-1249 |
Ashley Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |
Deborah Plasman, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 |
Sarah Ann Szymczyk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |
Huong T Pham, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 S Pioneer Pkwy Ste 302, West Valley City, UT 84120 Phone: 801-964-8726 Fax: 801-968-9836 |
Paloma Martinez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |