MEDICARE: JANE ANN GEHLSEN MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	17581	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	80007973	OTHER	AL	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3610009	OTHER	AL	UNITED HEALTHCARE
2	51523157	OTHER	AL	BLUE CROSS/BLUE SHIELD
3	1371	OTHER	AL	HEALTHSPRING
4	237303127019	OTHER	AL	TRICARE/HUMANA
5	51523276	OTHER	AL	BLUE CROSS/BLUE SHIELD
7	51523158	OTHER	AL	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1013997808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE ANN GEHLSEN MD

Provider Business Mailing Address
First Line	:	985 9TH AVE SW
Second Line	:	SUITE 404
City	:	BESSEMER
State	:	AL
Zip	:	35022-4500
Country	:	US
Telephone Number	:	205-481-8475
Fax Number	:	205-481-8478

Provider Business Practice Location Address
First Line	:	985 9TH AVE SW
Second Line	:	SUITE 404
City	:	BESSEMER
State	:	AL
Zip	:	35022-4500
Country	:	US
Telephone Number	:	205-481-8475
Fax Number	:	205-481-8478

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

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	01/28/2011

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Directions to “ JANE ANN GEHLSEN MD” Practice Location

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