David L Hansen, MD | |
5000 Prairie Rose Dr, Roscoe, IL 61073-7792 | |
(815) 971-2000 | |
(815) 971-9417 |
Full Name | David L Hansen |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 46 Years |
Location | 5000 Prairie Rose Dr, Roscoe, Illinois |
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 |
---|---|---|---|
1689784878 | NPI | - | NPPES |
036062691 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-062691 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercyhealth At Home | Rockford, IL | Home health agency |
Rockford V N A Hospice | Rockford, IL | Hospice |
Javon Bea Hospital | Rockford, IL | Hospital |
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Swedish American Hospital | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rockford Health Physicians | 2567374036 | 304 |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Mailing Address | Practice Location Address |
---|---|
David L Hansen, MD 5000 Prairie Rose Dr, Roscoe, IL 61073-7792 Ph: (815) 971-2000 | David L Hansen, MD 5000 Prairie Rose Dr, Roscoe, IL 61073-7792 Ph: (815) 971-2000 |
Robert R Lisek, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073 Phone: 815-525-4500 Fax: 815-525-4505 | |
Dusica Sekulic, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5000 Prairie Rose Dr, Roscoe, IL 61073 Phone: 815-971-2000 | |
Dr. Afoma Phoebe Ezidinma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5605 E Rockton Rd, Northpointe Clinic, Roscoe, IL 61073 Phone: 815-525-4500 Fax: 815-525-4505 |