Shane R Hanzlik, MD | |
1508 Division St Suite 105, Oregon City, OR 97045-1584 | |
(503) 905-4104 | |
(503) 656-9464 |
Full Name | Shane R Hanzlik |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 16 Years |
Location | 1508 Division St Suite 105, Oregon City, Oregon |
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 |
---|---|---|---|
1568624542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | MD170616 (Oregon) | Secondary |
207X00000X | Orthopaedic Surgery | MD170616 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regenerative Orthopedic Center Llc | 0749640597 | 22 |
Entity Name | Oregon Orthopedic & Sports Medicine Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588762736 PECOS PAC ID: 3678467255 Enrollment ID: O20040212000946 |
Entity Name | Regenerative Orthopedic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568151561 PECOS PAC ID: 0749640597 Enrollment ID: O20230712002566 |
Mailing Address | Practice Location Address |
---|---|
Shane R Hanzlik, MD 1508 Division St Suite 105, Oregon City, OR 97045-1584 Ph: (503) 905-4104 | Shane R Hanzlik, MD 1508 Division St Suite 105, Oregon City, OR 97045-1584 Ph: (503) 905-4104 |
Terrence A Sedgewick, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St, Suite 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 | |
James C Ballard, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St, Suite 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 | |
David Patrick Huberty, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St, Suite 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 | |
Bradford T Black, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St, Suite 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 | |
Dr. John J Coen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St Ste 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 | |
Thomas P Mcweeney, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1508 Division St, Suite 105, Oregon City, OR 97045 Phone: 503-656-0836 Fax: 503-656-9464 |