Dr Michelle Marie Hansen, MD | |
104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 | |
(509) 838-8561 | |
(509) 835-4058 |
Full Name | Dr Michelle Marie Hansen |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 104 W 5th Ave, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235108556 | NPI | - | NPPES |
8406381 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD00035386 (Washington) | Primary |
Entity Name | Providence Health & Service- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
Mailing Address | Practice Location Address |
---|---|
Dr Michelle Marie Hansen, MD 104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 Ph: (509) 838-8561 | Dr Michelle Marie Hansen, MD 104 W 5th Ave, Suite 250e, Spokane, WA 99204-4880 Ph: (509) 838-8561 |
Dr. John Heusner, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 104 West 5th Ave, Suite 203e, Spokane, WA 99204 Phone: 509-838-8561 Fax: 509-835-4058 | |
Thomas Andrew Satterfield, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 104 W 5th Ave, Suite 230e, Spokane, WA 99204 Phone: 509-838-8561 | |
Dr. Jesse Daniel Eichner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 W 5th Ave Fl 3, Spokane, WA 99204 Phone: 509-473-7672 | |
Dr. Trenton L Pierce, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Dr. Jimmy Keith Carter, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 104 West 5th, Suite 250e, Spokane, WA 99204 Phone: 509-838-8610 Fax: 509-835-4058 | |
Dr. John J Cambareri, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131 | |
Dr. Cornelius R Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 |