| Joshua E Hansen, PA-C | |
|
1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 | |
| (208) 524-6633 | |
| Not Available |
| Full Name | Joshua E Hansen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1880 John Adams Pkwy, Idaho Falls, Idaho |
| 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 |
|---|---|---|---|
| 1588948087 | NPI | - | NPPES |
| 1134140148 | Other | BAKER FAMILY PRACTICE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-927 (Idaho) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA-927 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wallace C Baker | 0446208904 | 6 |
| Entity Name | Mountain View Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Bear Lake County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174741441 PECOS PAC ID: 5395799860 Enrollment ID: O20071003000677 |
| Entity Name | Ashton Memorial Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003907163 PECOS PAC ID: 7719898873 Enrollment ID: O20080529000529 |
| Entity Name | Wallace C Baker |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134140148 PECOS PAC ID: 0446208904 Enrollment ID: O20100823000937 |
| Entity Name | Community Care West Side LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295009785 PECOS PAC ID: 3678738218 Enrollment ID: O20120703000554 |
| Entity Name | CC Pocatello LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua E Hansen, PA-C 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 Ph: (208) 524-6633 | Joshua E Hansen, PA-C 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 Ph: (208) 524-6633 |
Mr. Kelly Meacham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3389 Merlin Dr, Idaho Falls, ID 83404 Phone: 208-552-9831 |
Brigham Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7246 |
Chloe Olivia Seegmiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Potomac Way Ste 100, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 |
Tina Marie Murdock, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3111 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-0067 |
Lee S Gardner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2725 Channing Way, Idaho Falls, ID 83404 Phone: 208-525-8448 Fax: 208-525-8118 |
Johnathon Chase Wilde, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3820 Crestwood Ln, Idaho Falls, ID 83404 Phone: 208-552-7700 |
David Landen Day, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 |