Lance A Hansen, MD | |
465 Washington St, Montpelier, ID 83254-1544 | |
(208) 847-4495 | |
(208) 847-4336 |
Full Name | Lance A Hansen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 465 Washington St, Montpelier, Idaho |
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 |
---|---|---|---|
1861620262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-11157 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franklin County Medical Center | Preston, ID | Hospital |
Bear Lake Memorial Hospital | Montpelier, ID | Hospital |
Logan Regional Hospital | Logan, UT | Hospital |
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franklin County Medical Center | 8820909104 | 19 |
Entity Name | Franklin County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548355811 PECOS PAC ID: 8820909104 Enrollment ID: O20070917000547 |
Entity Name | Bear Lake County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174741441 PECOS PAC ID: 5395799860 Enrollment ID: O20071003000677 |
Mailing Address | Practice Location Address |
---|---|
Lance A Hansen, MD 465 Washington St, Montpelier, ID 83254-1544 Ph: (208) 847-4495 | Lance A Hansen, MD 465 Washington St, Montpelier, ID 83254-1544 Ph: (208) 847-4495 |
Dr. Larry David Bomsta, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 467 Washington St, Montpelier, ID 83254 Phone: 208-847-0072 Fax: 208-847-0077 | |
Trevor Dean Jacobson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 S 5th St, Montpelier, ID 83254 Phone: 208-847-1110 Fax: 208-847-0228 | |
Noall E Wolff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 360 N 2nd St, Montpelier, ID 83254 Phone: 208-847-5834 | |
Houston Reynolds, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-514-2529 | |
Dr. Peter Melvin Crane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 |