Dr Dallas Gregory Hansen, MD | |
234 Goodman St, Cincinnati, OH 45219-2364 | |
(937) 679-6276 | |
Not Available |
Full Name | Dr Dallas Gregory Hansen |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 234 Goodman St, Cincinnati, Ohio |
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 |
---|---|---|---|
1720214935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101248965 (Virginia) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 35132197 (Ohio) | Secondary |
208600000X | Surgery | 35132197 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Medical Center | Kettering, OH | Hospital |
Fort Hamilton Hughes Memorial Hospital | Hamilton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Independent Medical Group Inc | 3173710936 | 577 |
Entity Name | University Of Cincinnati Physicians Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Kettering Independent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Entity Name | Wilmington Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932401411 PECOS PAC ID: 4688853419 Enrollment ID: O20110126000617 |
Mailing Address | Practice Location Address |
---|---|
Dr Dallas Gregory Hansen, MD Po Box 636256 Central Credentialing, Cincinnati, OH 45263-6256 Ph: (513) 585-5506 | Dr Dallas Gregory Hansen, MD 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (937) 679-6276 |
Stacy A Homan, CSFA/CST Surgery Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Cincinnati, OH 45229 Phone: 513-636-4200 | |
Dr. Jeffrey Michael Griffin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2123 Auburn Ave Ste 201, Cincinnati, OH 45219 Phone: 513-206-1170 Fax: 513-206-1172 | |
Dr. Matthew H Recht, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 302, Cincinnati, OH 45242 Phone: 513-865-9898 | |
Travis Wade Gerlach, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-584-4318 Fax: 513-584-3020 | |
Dr. Binh Thai Nguyen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Albert Sabin Way, Cincinnati, OH 45267 Phone: 513-558-4363 | |
Richard Bruce Fries Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4030 Smith Rd, Suite 300, Cincinnati, OH 45209 Phone: 513-421-3494 Fax: 513-345-2606 | |
Juan Pablo Gurria Juarez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3333 Burnet Ave. Mlc 2023, Cincinnati, OH 45229 Phone: 513-517-7170 |