Robert G Hansen, MD | |
206 E Elm St, Caldwell, ID 83605-4815 | |
(208) 459-4511 | |
(208) 459-6602 |
Full Name | Robert G Hansen |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 206 E Elm St, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285623702 | NPI | - | NPPES |
806979400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | M9169 (Idaho) | Primary |
Entity Name | Orthopedic & Fracture Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184739351 PECOS PAC ID: 7810800398 Enrollment ID: O20031111000145 |
Mailing Address | Practice Location Address |
---|---|
Robert G Hansen, MD 206 E Elm St, Caldwell, ID 83605-4815 Ph: (208) 459-4511 | Robert G Hansen, MD 206 E Elm St, Caldwell, ID 83605-4815 Ph: (208) 459-4511 |
George Arthur Nicola, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 | |
Craig R Jamison, PAC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-4511 | |
John Quentin Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 400, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 | |
Charles Phillip Schneider, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 | |
Michael T Daines, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 400, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |