Dr Peter B Hanson, MD | |
5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942-3020 | |
(619) 462-3131 | |
(619) 462-1731 |
Full Name | Dr Peter B Hanson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 38 Years |
Location | 5565 Grossmont Center Dr, La Mesa, California |
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 |
---|---|---|---|
1841216603 | NPI | - | NPPES |
ZZZ72232Z | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G61117 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grossmont Hospital | La mesa, CA | Hospital |
Sharp Coronado Hospital And Hlthcr Ctr | Coronado, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
G O M G A Medical Partnership | 1153427836 | 11 |
Joint Replacement Cin Of San Diego Llc | 6305109521 | 7 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Entity Name | G O M G A Medical Partnership |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306938139 PECOS PAC ID: 1153427836 Enrollment ID: O20070426000624 |
Entity Name | Joint Replacement Cin Of San Diego Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487162350 PECOS PAC ID: 6305109521 Enrollment ID: O20180420001017 |
Entity Name | Coordinated Health Of Ca Iv Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659889525 PECOS PAC ID: 2062776024 Enrollment ID: O20180430000650 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter B Hanson, MD 5565 Grossmont Center Dr, Bldg.3 Suite 256, La Mesa, CA 91942-3020 Ph: (619) 462-3131 | Dr Peter B Hanson, MD 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942-3020 Ph: (619) 462-3131 |
Dr. Thomas Francis Moyad, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Drive, Bldg 3, Suite 156, La Mesa, CA 91942 Phone: 619-462-0900 Fax: 619-462-3584 | |
Andrew Eliot Yoo, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Blvd, Building 3, Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 | |
Dr. John William Miles Iii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-6609 Fax: 619-644-1208 | |
Dr. John Russell Lake, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 | |
Dr. Ben Dubois, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 |