Beverly Hanson, PA - Physician Assistant in Blackfoot, ID

Beverly Hanson, PA is a Physician Assistant - Surgical based in Blackfoot, Idaho. Beverly Hanson is licensed to practice in Idaho (license number PAG-012) and her current practice location is 98 Poplar St, Blackfoot, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 782-3993.

NPI number for Beverly Hanson is 1003874389 and her current mailing address is 98 Poplar St, Blackfoot, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003874389.

Contact Information

Beverly Hanson, PA
98 Poplar St,
Blackfoot, ID 83221-1758
(208) 782-3993
(208) 782-3994



Provider's Profile

Full NameBeverly Hanson
GenderFemale
SpecialityPhysician Assistant - Surgical
Location98 Poplar St, Blackfoot, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003874389
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 09/09/2008

Medical Identifiers

Medical identifiers for Beverly Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003874389NPI-NPPES
000010167603OtherIDRBS LAMERE
HPAC6OtherIDBLUE CROSS OLD
PAJ80OtherIDBCS LAMERE
000010154328OtherIDREGENCE BLUE SHIELD
HB405OtherIDBLUE CROSS
807338600MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PAG-012 (Idaho)Primary

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. Beverly Hanson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Beverly Hanson, PA
98 Poplar St,
Blackfoot, ID 83221-1758

Ph: (208) 782-3993
Beverly Hanson, PA
98 Poplar St,
Blackfoot, ID 83221-1758

Ph: (208) 782-3993

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Physician Assistant Nurses in Blackfoot, ID

John Todd Allen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 700 E Alice St, Blackfoot, ID 83221
Phone: 208-785-1200    
Shawna Marie Reynolds, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    Fax: 208-785-1762
Heather Faye Grimmett, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    
Lucas P Belford, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 700 E Alice St, Blackfoot, ID 83221
Phone: 208-785-1200    
Ryan Blair Killpack, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 98 Poplar St, Blackfoot, ID 83221
Phone: 208-785-4100    
Debra Erramouspe, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    

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