Mark M Hansen, MD
Individual provider Active NPI Family Medicine Physician · Morton, WA
NPI 1114013208 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1114013208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P35289 (WA)
- Practice address
- 521 Adams Ave Ste B
Morton, WA 98356-9323 - Phone
- (360) 496-5145
- Fax
- (360) 496-5093
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lewis County Hospital District No 1
Practice addresses (Care Compare)
521 Adams Ave
Morton, WA 98356-9323
Phone (360) 496-5112
531 Adams Ave
Morton, WA 98356-9323
PO Box
Suite 1138
Morton, WA 98356-0019
Hospital & facility affiliations
- Arbor Health Morton Hospital
- Providence Centralia Hospital
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 |
|---|---|---|---|---|
| I20041221000997 | WA | Practitioner - Family Practice |
4082672050 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P35289 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Hospital District No 1 | Current |
Accepting new patients | |
| Lewis County Hospital District No. 1 | Current |
Accepting new patients | |
| Lewis County Hospital District No. 1 | Family Medicine | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P35289 | WA | Yes |
Addresses
Primary practice location
521 Adams Ave Ste B
Morton, WA 98356-9323
Mailing address
PO Box 1138
Morton, WA 98356-0019
Phone (360) 496-5145
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | markhansen@myarborhealth.cernerdirect.com |
Other providers in Morton, WA
- Adam Thomas Garcia
- Danica Gering
- Christopher Thomas Gordon
- Georgi Grekoff
- Emma Grider
- Stephanie Jean Hemenway
- John R Hines
- Karyl Desneiges Huber
- Kindra R Keys
- Denise Klempay
All providers in Morton, 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 Feb 16, 2024. 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.