Lance A Hansen, MD
Individual provider Active NPI Family Medicine Physician · Montpelier, ID
NPI 1861620262 · NPPES record last updated Dec 5, 2014
Key facts
- NPI
- 1861620262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-11157 (ID)
- Practice address
- 465 Washington St
Montpelier, ID 83254-1544 - Phone
- (208) 847-4495
- Fax
- (208) 847-4336
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franklin County Medical Center
Practice addresses (Care Compare)
44 N 1St
Preston, ID 83263-1326
Phone (208) 852-0137
Hospital & facility affiliations
- Symbii Home Health
- Franklin County Medical Center Home Care
- Franklin County Medical Center
- Bear Lake Memorial Hospital
- Intermountain Health Logan Regional Hospital
- Portneuf Medical Center
- Franklin County Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20120813000830 | ID | Practitioner - Family Practice | 4688820202 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-11157 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin County Medical Center | Family Medicine | Current |
Accepting new patients |
| Bear Lake County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Franklin County Medical Center | Current |
Accepting new patients | |
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| Bear Lake County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Franklin County Medical Center | Past | Accepting new patients |
Locations
465 Washington St
Montpelier, ID 83254
Phone (208) 847-2878
467 Washington St
Montpelier, ID 83254
Phone (208) 847-4495
64 N 1st E
Ste 100
Preston, ID 83263
Phone (208) 852-0137
44 N 1st E
Preston, ID 83263
Phone (208) 852-0137
Interoperability endpoints
- lance.hansen.1@17373.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-11157 | ID | Yes |
Addresses
Primary practice location
465 Washington St
Montpelier, ID 83254-1544
Mailing address
465 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495
Other providers in Montpelier, ID
- Spencer William Esplin
- Fortify Family Counseling, LLC
- Gary Scott Griffin
- Dorian S Grunig
- Steven D Hammond
- Health West Inc.
- Health West, Inc.
- Health West, Inc.
- Brandon J. Henscheid
- Casey Humpherys
All providers in Montpelier, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2014. 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.