Matthew Christian Hansen, MD | |
1160 E 3900 S #1000, Salt Lake City, UT 84124-1233 | |
(801) 262-1771 | |
(801) 288-9101 |
Full Name | Matthew Christian Hansen |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1160 E 3900 S #1000, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598860041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 328603-1205 (Utah) | Secondary |
207R00000X | Internal Medicine | 328603-1205 (Utah) | Primary |
Entity Name | St Marks Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912925629 PECOS PAC ID: 1355248089 Enrollment ID: O20031218000918 |
Mailing Address | Practice Location Address |
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Matthew Christian Hansen, MD 1160 E 3900 S #1000, Salt Lake City, UT 84124-1233 Ph: (801) 262-1771 | Matthew Christian Hansen, MD 1160 E 3900 S #1000, Salt Lake City, UT 84124-1233 Ph: (801) 262-1771 |
Dr. Mehmet Akkaya, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689 | |
Dr. Willard Dere, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Megan Meier, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Siddharth K. Iyengar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 | |
Taryn A. Young, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398 | |
David C. Haak, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580 | |
Therese J. Battiola, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 |