Glenn A Hansen, DPM - Medicare Podiatrist in Green Bay, WI

Glenn A Hansen, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Green Bay, Wisconsin. His current practice location is 2331 S Oneida St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 499-1177.

Glenn A Hansen is licensed to practice in Wisconsin (license number 403-025) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194732669.

Contact Information

Glenn A Hansen, DPM
2331 S Oneida St,
Green Bay, WI 54304-5267
(920) 499-1177
(920) 499-5398



Healthcare Provider's Profile

Full NameGlenn A Hansen
GenderMale
SpecialityPodiatrist - Foot Surgery
Location2331 S Oneida St, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194732669
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 03/26/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0648386573
  • Enrollment ID: I20120111000926

Medical Identifiers

Medical identifiers for Glenn A Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194732669NPI-NPPES
43217500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0131XPodiatrist - Foot Surgery 403-025 (Wisconsin)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. Glenn A 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
Glenn A Hansen, DPM
2331 S Oneida St,
Green Bay, WI 54304-5267

Ph: (920) 499-1177
Glenn A Hansen, DPM
2331 S Oneida St,
Green Bay, WI 54304-5267

Ph: (920) 499-1177

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› Verified 5 days ago


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