MEDICARE: MICHAEL C. HANUS MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	ME82215	FL
2	2085R0001X	Radiation Oncology Physician	ME0082215	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101584	OTHER	FL	WELLCARE
2	2072605-001	OTHER	FL	CIGNA PROVIDER NUMBER
3	592485899	OTHER	FL	METCARE VENDOR ID #
4	00792	OTHER	FL	UNV. HLTHCR. PROVIDER #
5	24-00216	OTHER	FL	UTD. HLTHCR. PROVIDER #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	278526	OTHER	FL	AVMED PROVIDER NUMBER
8	85448	OTHER	FL	OP. ENG. LOC. 825 PROV. #
9	ME82215	OTHER	FL	METCARE PROVIDER ID #
10	7004248	OTHER	FL	AETNA PROVIDER NUMBER
11	8329	OTHER	FL	AVMED PIN NUMBER
12	207227	OTHER	FL	AMERIGROUP GROUP #

NPI Number	:	1639172588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL C. HANUS MD

Provider Business Mailing Address
First Line	:	8625 COLLIER BLVD STE 102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34114-3550
Country	:	US
Telephone Number	:	239-429-0100
Fax Number	:	239-421-8209

Provider Business Practice Location Address
First Line	:	8625 COLLIER BLVD STE 102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34114-3550
Country	:	US
Telephone Number	:	239-429-0100
Fax Number	:	239-421-8209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/22/2022

8625 COLLIER BLVD STE 102
NAPLES, FL
34114-3550

Practice Phone: 239-429-0100
Practice Fax: 239-241-8209