Dawn M Hansen (NPI# 1558323964, PAC ID# 5597841684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1558323964 |
| PAC ID by PECOS | 5597841684 |
| Professional Enrollment ID | I20080331000099 |
| Full Name | Dawn M Hansen |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Address |
2550 Pass Rd Biloxi MS 39531-2726 |
| Phone Number | 8772313376 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9931277233 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| Address | Phone | Organization |
|---|---|---|
| 2550 Pass Rd, Biloxi, MS 39531-2726 | 8772313376 | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Organization Legal Name | SOUTHEASTERN DERMATOLOGY GROUP PA |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Deselms | Physician Assistant | Southeastern Dermatology Group Pa | 2010 E Johnson Ave, Pensacola, FL 32514-6027 |
| Josh A Hammel | Dermatology | Southeastern Dermatology Group Pa | 1605 Whitesville St, Lagrange, GA 30240-5903 |
| Hannah Garnett | Nurse Practitioner | Southeastern Dermatology Group Pa | 201 A Longwood Dr Se, Huntsville, AL 35801-2742 |
| John Phillips | Dermatology | Southeastern Dermatology Group Pa | 3089 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3216 |
| Amy S West | Physician Assistant | Southeastern Dermatology Group Pa | 212 Nw Racetrack Rd, Fort Walton Beach, FL 32547-3831 |
| Rachel E Brooks | Physician Assistant | Southeastern Dermatology Group Pa | 989 Elba Hwy, Troy, AL 36079-6050 |
| Jeffrey B Stricker | Dermatology | Southeastern Dermatology Group Pa | 1474 Market St, Tallahassee, FL 32312-1768 |
| Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Garin D Barth | Dermatology | Southeastern Dermatology Group Pa | 2320 Double Churches Rd, Suite B, Columbus, GA 31909-2662 |
| Lauren E Miller | Physician Assistant | Southeastern Dermatology Group Pa | 101 Cherry St, Gadsden, AL 35901-5234 |
| Street Address |
2550 PASS RD |
| City | BILOXI |
| State | MS |
| Zip | 39531-2726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ursula Knight | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 104, Biloxi, MS 39531 |
| Geoffrey G Kergosien | Physical Therapy | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 404, Biloxi, MS 39531 |
| Oliver Lee Kesterson | Neurosurgery | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 104, Biloxi, MS 39531 |
| Kendrick Mccarty | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 402, Biloxi, MS 39531 |
| Jane Mattina | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 402, Biloxi, MS 39531 |
| Michael Dennis Rogers | Physical Therapy | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 404, Biloxi, MS 39531 |
| Caroline Coleman Miller | Qualified Speech Language Pathologist | Encore Rehabilitation Inc | 2541 Pass Rd F, Biloxi, MS 39531-2112 |
| Edward M Long | Chiropractic | Long Chiropractic, P. A. | 2541 Pass Rd H, Biloxi, MS 39531-2112 |
| Vickie G Cruse | Qualified Audiologist | 2541 Pass Rd, Suite C, Biloxi, MS 39531-2112 | |
| Zachary Moorer | Physical Therapy | Encore Rehabilitation Inc | 2541 Pass Rd F, Biloxi, MS 39531-2112 |
| Find all physicians in zip 39531 | |||
| City | BILOXI |
| Zip Code | 39531 |
| Specialty | DERMATOLOGY |
| City + Specialty | BILOXI + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.