Lindsay Keith Hanson, MD
Individual provider Active NPI Family Medicine Physician · Brewster, WA
NPI 1023077922 · NPPES record last updated Jul 16, 2013
Key facts
- NPI
- 1023077922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD00025353 (WA)
- Practice address
- 520 W Indian Ave
Brewster, WA 98812 - Phone
- (509) 689-2525
- Fax
- (509) 689-3247
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
520 W Indian Ave
Brewster, WA 98812-5003
PO Box
Suite 337
Brewster, WA 98812
Hospital & facility affiliations
- Three Rivers Hospital
- Regency Harmony House Rehab & Nursing
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.56 of 100
- Quality
- 25.9
- Improvement activities
- 40
- Cost
- 64.91
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100726000175 | WA | Practitioner - Family Practice | 7517851900 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Washington Sleep Diagnostic Center, PLLC | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current |
Accepting new patients | |
| Okanogan Douglas County Hospital Dist1 | Current |
Accepting new patients | |
| Central Washington Medical Associates | Past | Accepting new patients | |
| MBB Brewster LLC | Past | Accepting new patients | |
| Family Health Centers | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00025353 | WA | Yes |
Addresses
Primary practice location
520 W Indian Ave
Brewster, WA 98812
Mailing address
PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 689-2525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1118744 | Medicaid | WA | |
| 171641 | Other | L&I | |
| HA2166 | Other | REGENCE |
Other names
- L Keith Hanson
Other providers in Brewster, WA
- Gillespie Eye Care PC
- Eric E Haeger
- Bradley Christopher Hagen
- Shannon Hampe
- Heidee I. Hanson
- Molly Trainor Hogan
- Susan Renee Huber
- Allan D. Huffman
- Amber Eve Ikeler
- Shawn Michael Isenhart
All providers in Brewster, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.