Susan M Hansen, MD | |
870 S Front St, Suite 200, Central Point, OR 97502-2779 | |
(541) 664-3346 | |
(541) 664-6051 |
Full Name | Susan M Hansen |
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Gender | Female |
Speciality | Internal Medicine |
Location | 870 S Front St, Central Point, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730129909 | NPI | - | NPPES |
227698 | Medicaid | OR | |
212995 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD19220 (Oregon) | Primary |
207R00000X | Internal Medicine | MD00036325 (Washington) | Secondary |
Entity Name | Asante Physician Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 |
Mailing Address | Practice Location Address |
---|---|
Susan M Hansen, MD Po Box 3158, Portland, OR 97208-3158 Ph: (541) 664-3346 | Susan M Hansen, MD 870 S Front St, Suite 200, Central Point, OR 97502-2779 Ph: (541) 664-3346 |
Dr. Christopher D Alftine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 Hamrick Rd, Central Point, OR 97502 Phone: 541-690-3600 | |
John Kolsbun, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 Beall Ln, Central Point, OR 97502 Phone: 541-664-5151 Fax: 541-664-5155 | |
Dr. Yale Sacks, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 Old Military Rd, Central Point, OR 97502 Phone: 541-772-1559 |