Dr Timothy Hansen, MD | |
6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 | |
(559) 449-4350 | |
(559) 449-4358 |
Full Name | Dr Timothy Hansen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 6235 N Fresno St, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083709927 | NPI | - | NPPES |
ZZZ71868Z | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G68030 (California) | Primary |
Entity Name | Pediatric Anesthesia Associates Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558588871 PECOS PAC ID: 5193963718 Enrollment ID: O20130521000226 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Hansen, MD 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 Ph: (559) 449-4350 | Dr Timothy Hansen, MD 6235 N Fresno St, Suite # 103, Fresno, CA 93710-5269 Ph: (559) 449-4350 |
William B Etiz, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Yang J Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
John S Sturman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 | |
Gregory Alan Smith, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5680 N Fresno St Ste 105, Fresno, CA 93710 Phone: 559-374-5130 Fax: 888-977-4918 | |
Rasheed Amireh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1630 E Herndon Ave, Fresno, CA 93720 Phone: 559-447-1432 Fax: 559-432-2874 | |
Andre S Motie, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000 |