Jenna M Hanson (NPI# 1003476276, PAC ID# 9739413212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1003476276 |
| PAC ID by PECOS | 9739413212 |
| Professional Enrollment ID | I20190703001412 |
| Full Name | Jenna M Hanson |
| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Address |
1821 S Webster Ave Green Bay WI 54301-2253 |
| Phone Number | 9204964700 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5799694675 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520097 | ST MARY'S HOSPITAL MEDICAL CENTER |
| 520075 | ST VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1715 Dousman St, Green Bay, WI 54303-3211 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 1727 Dousman St, Green Bay, WI 54303-3211 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 1821 S Webster Ave, Green Bay, WI 54301-2253 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 835 S Van Buren St, Green Bay, WI 54301-3526 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Physicians | 473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manal S Soliman | Family Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1727 Dousman St, Green Bay, WI 54303-3211 |
| Heather L Lensmire | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 958 Foote St, Seymour, WI 54165-1044 |
| Anna J Shaffer | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1409 Cleveland Ave, Marinette, WI 54143-3918 |
| Aliaksandr Trusau | Internal Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 620 Smith Ave, Oconto, WI 54153-1080 |
| Elizabeth Ann Ball | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Whitney J Brusich | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1686 Eisenhower Rd, De Pere, WI 54115-8145 |
| Alishia L Parma | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1020 Marquette Dr, Kewaunee, WI 54216-1782 |
| Gregory Peyer | Orthopedic Surgery | St Vincent Hospital-hospital Sisters-third Order of St Francis | 853 S Main St, Oconto Falls, WI 54154-1241 |
| Maureen C Mommaerts | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Mark A Kachan | Podiatry | St Vincent Hospital-hospital Sisters-third Order of St Francis | 940 S Saint Augustine St, Pulaski, WI 54162-9453 |
| Street Address |
1821 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip | 54301-2253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irma C Smet | Psychologist, Clinical | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Kathleen M Barkow | Pediatric Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Michelle L Maki | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Lauren M Resch | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Manar K Shahrouri | Pulmonary Disease | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Jennifer L Herbst | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Kelly Jo Gitter | Qualified Audiologist | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Richard G Potts | Pulmonary Disease | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Jeffrey Shaw | Allergy/immunology | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Patricia M Polfus | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy O Trupke | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Eliza M Andrews | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Tina Marie Baeten | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Daniel D Lyons | Chiropractic | 2920 S Webster Ave, Suite 100, Green Bay, WI 54301-1594 | |
| Valorie A Helander | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Jennifer A Sovey Fahey | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Kayla Marie Franzluebbers | Chiropractic | Lyons Health, LLC | 2920 S Webster Ave, Green Bay, WI 54301-1594 |
| Ann Meier Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Glenn D Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Steven L Kagen | Allergy/immunology | 2333 Riverside Dr, Green Bay, WI 54301-1945 | |
| Find all physicians in zip 54301 | |||
| City | GREEN BAY |
| Zip Code | 54301 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GREEN BAY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jenna M Hanson.
| 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.