Mr Matthew Vernon Hansen, PA-C is a medicare enrolled "Physician Assistant - Medical" in Randolph, Texas. His current practice location is
221 3rd St West, 12 Medical Group, Randolph, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 652-9836.
Mr Matthew Vernon Hansen is licensed to practice in * (Not Available) (license number 1025979) 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 1871686444.
Provider's Profile
| Full Name | Mr Matthew Vernon Hansen |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 221 3rd St West, Randolph, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871686444
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7719130855
- Enrollment ID: I20130123000393
Medical Identifiers
Medical identifiers for Mr Matthew Vernon Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871686444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 1025979 (* (Not Available)) | Primary |
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. Mr Matthew Vernon 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 Address | Practice Location Address |
|---|
Mr Matthew Vernon Hansen, PA-C
3331 Trailway Park,
San Antonio, TX 78247
Ph: (210) 722-2274 | Mr Matthew Vernon Hansen, PA-C
221 3rd St West, 12 Medical Group,
Randolph, TX 78150-4801
Ph: (210) 652-9836 |
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