Dr Dwight Hansen, OD is a medicare enrolled "Optometrist" provider in Rigby, Idaho. He went to Southern California College Of Optometry and graduated in 1986 and has 38 years of diverse experience with area of expertise as Optometry. His current practice location is
225 W Main St, Rigby, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 745-8773.
Dr Dwight Hansen is licensed to practice in Idaho (license number ODP-747) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851302855.
Healthcare Provider's Profile
| Full Name | Dr Dwight Hansen |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 38 Years |
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| Location | 225 W Main St, Rigby, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Dwight Hansen attended and graduated from Southern California College Of Optometry in 1986
NPI Data:
- NPI Number: 1851302855
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 02/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 0941208789
- Enrollment ID: I20061110000095
Medical Identifiers
Medical identifiers for Dr Dwight Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851302855 | NPI | - | NPPES |
| 002382900 | Medicaid | ID | |
| 410015645 | Other | ID | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP-747 (Idaho) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | ODP-747 (Idaho) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | ODP-747 (Idaho) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | ODP-747 (Idaho) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | ODP-747 (Idaho) | Secondary |
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. Dr Dwight Hansen allows following entities to bill medicare on his behalf.
| Provider Name | State Of Idaho |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801833454
PECOS PAC ID: 4789663220
Enrollment ID: O20040724000290 |
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| Provider Name | Jason N Hurley O D P C |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629272323
PECOS PAC ID: 6305811803
Enrollment ID: O20040828000131 |
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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. Dr Dwight 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 |
|---|
Dr Dwight Hansen, OD
225 W Main St,
Rigby, ID 83442-1351
Ph: (208) 745-8773 | Dr Dwight Hansen, OD
225 W Main St,
Rigby, ID 83442-1351
Ph: (208) 745-8773 |
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