Mulloy G Hansen, MD - Medicare Family Medicine in Lewiston, ID

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Mulloy G Hansen, MD is a medicare enrolled "Family Medicine" physician in Lewiston, Idaho. His current practice location is 338 6th St Ste 101, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (120) 884-8830.

Mulloy G Hansen is licensed to practice in Idaho (license number M-10654) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538358635.

Contact Information

Mulloy G Hansen, MD
338 6th St Ste 101,
Lewiston, ID 83501-2419
(120) 884-8830
(509) 444-7806

Map and Direction




Physician's Profile

Full NameMulloy G Hansen
GenderMale
SpecialityFamily Medicine
Location338 6th St Ste 101, Lewiston, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538358635
  • Provider Enumeration Date: 10/15/2007
  • Last Update Date: 06/29/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1456240035
  • Enrollment ID: I20090806000190

Medical Identifiers

Medical identifiers for Mulloy G Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538358635NPI-NPPES
7081771MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD00015580 (Washington)Secondary
207Q00000XFamily Medicine M-10654 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mulloy G Hansen allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Association Of Spokane
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235372707
PECOS PAC ID: 9638063217
Enrollment ID: O20090723000312

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mulloy G Hansen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mulloy G Hansen, MD
203 N Washington St Ste 300,
Spokane, WA 99201-0233

Ph: (509) 444-8888		Mulloy G Hansen, MD
338 6th St Ste 101,
Lewiston, ID 83501-2419

Ph: (120) 884-8830

Reviews and Comments


Family Medicine Doctors in Lewiston, ID

Dr. Christina R Bjornstad, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 625 6th Ave, Lewiston, ID 83501
Phone: 208-743-8226    Fax: 208-746-2069
Larry Dean Harries, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 307 St Johns Way, Ste 4, Lewiston, ID 83501
Phone: 208-743-8585    Fax: 208-743-0118
Dr. Christine C Schaller, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2315 8th St, Lewiston, ID 83501
Phone: 208-983-5120    Fax: 208-983-5404
Dr. Donald J Greggain, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 6th St Ste 3c, Lewiston, ID 83501
Phone: 208-750-3840    Fax: 208-750-3839
Glenn E Jefferson Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2315 8th St, Lewiston, ID 83501
Phone: 208-746-1383    Fax: 208-746-6348
Cheryl A Mallory, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2315 8th St, Lewiston, ID 83501
Phone: 208-746-1383    Fax: 208-746-6348
Celso R Chavez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1522 17th St, Lewiston, ID 83501
Phone: 208-743-8416    Fax: 208-743-4642

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.