Dr Mark T Hansen, MD | |
1410 Tusculum Blvd Ste 1700, Greeneville, TN 37745-5818 | |
(423) 787-7100 | |
Not Available |
Full Name | Dr Mark T Hansen |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 31 Years |
Location | 1410 Tusculum Blvd Ste 1700, Greeneville, Tennessee |
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 |
---|---|---|---|
1689646507 | NPI | - | NPPES |
870591755HA1 | Other | UT | EMIA |
107008361102 | Other | UT | IHC |
344470 | Other | UT | DMBA |
48410 | Other | UT | PEHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 358614-1205 (Utah) | Secondary |
208600000X | Surgery | 71681 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Logan Regional Hospital | Logan, UT | Hospital |
Cache Valley Hospital | North logan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Medical Group-cache Valley Llc | 5193887149 | 5 |
Entity Name | Mountainstar Medical Group-cache Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144475674 PECOS PAC ID: 5193887149 Enrollment ID: O20081229000411 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark T Hansen, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Dr Mark T Hansen, MD 1410 Tusculum Blvd Ste 1700, Greeneville, TN 37745-5818 Ph: (423) 787-7100 |
Dr. William Robert Bridges, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 Tusculum Blvd Ste 2100, Greeneville, TN 37745 Phone: 423-783-5580 | |
Beth Ann Bulawa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 Tusculum Blvd Ste 2100, Greeneville, TN 37745 Phone: 423-783-5580 | |
Dr. Frederick Myers, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 401 Takoma Ave, Greeneville, TN 37743 Phone: 423-639-2395 Fax: 423-636-0487 | |
Dr. Mark D Patterson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1410 Tusculum Blvd, Suite 1700, Greeneville, TN 37745 Phone: 423-787-7100 Fax: 423-787-7109 | |
Panagiotis Drakos, M.D Surgery Medicare: Medicare Enrolled Practice Location: 1410 Tusculum Blvd Ste 1700, Greeneville, TN 37745 Phone: 423-787-7100 | |
Dr. Robert Stephen Flohr, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1410 Tusculum Blvd, Suite 1700, Greeneville, TN 37745 Phone: 423-787-7100 Fax: 423-787-7109 |