Dr Thomas Walter Hansen, DDS is a medicare enrolled "Dentist" provider in Dawson, Minnesota. His current practice location is
792 6th St, Dawson, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 769-4756.
Dr Thomas Walter Hansen is licensed to practice in Minnesota (license number 9171) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164540910.
Healthcare Provider's Profile
| Full Name | Dr Thomas Walter Hansen |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 792 6th St, Dawson, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164540910
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2365737384
- Enrollment ID: I20160829003145
Medical Identifiers
Medical identifiers for Dr Thomas Walter Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164540910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 9171 (Minnesota) | Primary |
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 Thomas Walter 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 Thomas Walter Hansen, DDS
Po Box 456, 792 6th St,
Dawson, MN 56232-0456
Ph: (320) 769-4756 | Dr Thomas Walter Hansen, DDS
792 6th St,
Dawson, MN 56232-0456
Ph: (320) 769-4756 |
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