Individual ProviderKora HansonPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address42nd And Emile St, Omaha, NE 68198-0001(402) 559-4000(402) 699-6406PECOS EnrollmentBased on the most recent information from CMS, provider Kora Hanson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992439046Provider TypeIndividualFull NameHanson, KoraGenderFemaleSole ProprietorNoEnumeration Date7/14/2022Last Updated1/17/2024Contact InformationPractice LocationPractice Address42nd And Emile St, Omaha, NE 68198-0001Phone(402) 559-4000FaxUnlisted FaxMailing LocationMailing Address17028 S Reflection Cir, Bennington, NE 68007-5718Phone(402) 699-6406FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer