Matthew D Hansen

MD | Pediatric Hematology-Oncology | Male

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Complete Profile:

Matthew D Hansen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Matthew D Hansen
Credential :	MD
Gender :	Male

Business Address:

Matthew D Hansen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 E Idaho St Boise, ID, 83712-6267 United States
Phone Number :	208-381-2222

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1780607481
NPI Entity Type :	Individual
First Enrolment Date :	25 Jul, 2006
Last Updated On :	21 Mar, 2011

Medicare Participation:

Matthew D Hansen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1355364365
Medicare Enrollment ID :	I20080508000715
Primary Specialty :	Medical Oncology
Medical School :	University Of Utah School Of Medicine
Graduation Year :	1995
Accepts Medicare?	Yes. Matthew D Hansen accepts medicare insurance.

Group Practice Association:

Matthew D Hansen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Matthew D Hansen is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
St Lukes Clinic - Treasure Valley Llc	4981878402	884	608 W Hays St Boise, ID - 837025511 Ph: 2083815970	Yes
St Lukes Clinic - Treasure Valley Llc	4981878402	884	610 W Hays St Boise, ID - 837025511	Yes
St Lukes Clinic - Treasure Valley Llc	4981878402	884	100 E Idaho St Boise, ID - 837126267	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew D Hansen are as mentioned. Primary taxonomy code for Matthew D Hansen, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No	OH35082069	OH
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	M10226	ID

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	190 E Bannock St Boise, ID, 83712 United States
Phone Number :	208-381-2222

Business Location:

Patients can refer following map for directions to Matthew D Hansen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.