Dr Douglas Alan Hansen, MD in Manitowoc, WI

Dr Douglas Alan Hansen, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Manitowoc, Wisconsin. He went to University Of Washington School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology and his current practice location is 801 York St, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 663-9008.

Dr Douglas Alan Hansen is licensed to practice in Wisconsin (license number 74455-20) 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 1124061619.

Contact Information

	Dr Douglas Alan Hansen, MD
	801 York St, Manitowoc, WI 54220-4630
	(920) 663-9008
	(920) 684-1439

Map and Direction

Physician's Profile

Full Name	Dr Douglas Alan Hansen
Gender	Male
Speciality	Dermatology
Experience	31 Years
Location	801 York St, Manitowoc, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Douglas Alan Hansen attended and graduated from University Of Washington School Of Medicine in 1993

NPI Data:

NPI Number: 1124061619
Provider Enumeration Date: 06/13/2006
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6103821400
Enrollment ID: I20210127000582

Medical Identifiers

Medical identifiers for Dr Douglas Alan Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124061619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZD0900X	Pathology - Dermatopathology	74455-20 (Wisconsin)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME122758 (Florida)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD21809 (Oregon)	Secondary
207ND0900X	Dermatology - Dermatopathology	74455-20 (Wisconsin)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD00034088 (Washington)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	74455-20 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Dermatology	3779471701	483

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 Douglas Alan Hansen allows following entities to bill medicare on his behalf.

Entity Name	Forefront Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083768253 PECOS PAC ID: 3779471701 Enrollment ID: O20040310000252

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 Douglas Alan 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 Douglas Alan Hansen, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Dr Douglas Alan Hansen, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008

Reviews and Comments

Pathology Doctors in Manitowoc, WI

Michael Byron Mccormick, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 Fax: 920-320-5129
Willmar Davison Patino Cadavid, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674
Dr. Daniel Wesley Abbott, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 Fax: 920-320-5129
Dr. Bruce Daniel Leckey Jr., DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674
Ling Xia, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674

Dr Douglas Alan Hansen, MD - Medicare Dermatology in Manitowoc, WI