Randall Tyler Hansen, DO - Medicare Family Practice in Provo, UT

Randall Tyler Hansen, DO is a medicare enrolled "Family Medicine" physician in Provo, Utah. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 475 W 940 N, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7930.

Randall Tyler Hansen is licensed to practice in Utah (license number 8699702-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831459361.

Contact Information

Randall Tyler Hansen, DO
475 W 940 N,
Provo, UT 84604-3301
(801) 357-7930
(801) 357-7014



Physician's Profile

Full NameRandall Tyler Hansen
GenderMale
SpecialityFamily Practice
Experience12 Years
Location475 W 940 N, Provo, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Randall Tyler Hansen graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1831459361
  • Provider Enumeration Date: 05/17/2012
  • Last Update Date: 01/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6709013956
  • Enrollment ID: I20131212001861

Medical Identifiers

Medical identifiers for Randall Tyler Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831459361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 8699702-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sun Tree Home Health, LlcSt george, UTHome health agency
Dixie Regional Medical CenterSt george, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randall Tyler Hansen allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Randall Tyler 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 AddressPractice Location Address
Randall Tyler Hansen, DO
475 W 940 N,
Provo, UT 84604-3301

Ph: (801) 357-7930
Randall Tyler Hansen, DO
475 W 940 N,
Provo, UT 84604-3301

Ph: (801) 357-7930

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Family Medicine Doctors in Provo, UT

Dr. Robert Joel Bush, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601
Phone: 801-852-1443    
Janee Namealoha Sells, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604
Phone: 385-375-8724    
Dr. Marlin L Christianson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 West 940 North, Provo, UT 84604
Phone: 801-357-7930    Fax: 801-357-7014
Tyson Schwab,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604
Phone: 801-357-1770    
Mr. Gregory Lawrence Nielsen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604
Phone: 801-422-2771    Fax: 801-422-0761
Mr. Tyler Jason Fieldsted, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 W 940 N, Provo, UT 84604
Phone: 801-357-7926    Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1157 N 300 W, #201, Provo, UT 84604
Phone: 801-581-2000    

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