Jeff Hanson | Omaha, NE • PECOS Search

Jeff Hanson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

987250 Nebraska Medical Ctr, Omaha, NE 68198-7250

(402) 559-3658 (402) 517-0616

PECOS Enrollment

Based on the most recent information from CMS, provider Jeff Hanson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871752840
Provider Type
Individual
Full Name
Hanson, Jeff
Title
Mr.
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
6/5/2008
Last Updated
6/5/2008

Contact Information

Practice Location

987250 Nebraska Medical Ctr, Omaha, NE 68198-7250

Unlisted Fax

Mailing Location

17202 Poppleton Ave, Omaha, NE 68130-1112

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 558 Nebraska