Dr Dwayne M Hansen, MD is a medicare enrolled "Surgery" physician in Rexburg, Idaho. He went to Tulane University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. His current practice location is
381 East 4th North, Ste 100, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 656-8442.
Dr Dwayne M Hansen is licensed to practice in Idaho (license number M8427) 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 1376581546.
Physician's Profile
| Full Name | Dr Dwayne M Hansen |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 32 Years |
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| Location | 381 East 4th North, Rexburg, 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 Dwayne M Hansen attended and graduated from Tulane University School Of Medicine in 1992
NPI Data:
- NPI Number: 1376581546
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951370402
- Enrollment ID: I20040930000782
Medical Identifiers
Medical identifiers for Dr Dwayne M Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376581546 | NPI | - | NPPES |
| 48488 | Other | ID | BLUE CROSS OF IDAHO |
| CS9440 | Other | ID | IDAHO STATE BOARD OF PHAR |
| M8427 | Other | ID | IDAHO STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | M8427 (Idaho) | Primary |
Medical Facilities Affiliation
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 Dwayne M Hansen allows following entities to bill medicare on his behalf.
| Entity Name | Dwayne M Hansen Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114024650
PECOS PAC ID: 6507863230
Enrollment ID: O20061023000186 |
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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 Dwayne M 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 |
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Dr Dwayne M Hansen, MD
Po Box 185,
Rexburg, ID 83440-0185
Ph: (208) 656-8442 | Dr Dwayne M Hansen, MD
381 East 4th North, Ste 100,
Rexburg, ID 83440
Ph: (208) 656-8442 |
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