| Jimmy G. Anderson, D.c. | |
|
3394 Lake Elmo Avenue, Lake Elmo, MN 55042-0831 | |
| (651) 777-9757 | |
| (651) 777-9757 |
| Full Name | Jimmy G. Anderson, D.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3394 Lake Elmo Avenue, Lake Elmo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043217433 | NPI | - | NPPES |
| 20135AN | Other | MN | BCBS |
| ON362AN | Other | MN | BCBS |
| 766225400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1217 (Minnesota) | Primary |
| 111N00000X | Chiropractor | 3048 (Kentucky) | Secondary |
| Provider Name | Jimmy G Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942369871 PECOS PAC ID: 5193733368 Enrollment ID: I20060329000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy G. Anderson, D.c. Box 831, 3394 Lake Elmo Avenue North, Lake Elmo, MN 55042-0831 Ph: (651) 777-9757 | Jimmy G. Anderson, D.c. 3394 Lake Elmo Avenue, Lake Elmo, MN 55042-0831 Ph: (651) 777-9757 |
Illuminnate Family Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8931 Highway 5, Suite A, Lake Elmo, MN 55042 Phone: 651-204-0926 Fax: 651-204-3031 | |
Dr. Eric D Muths, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8993 Highway 5, Lake Elmo, MN 55042 Phone: 651-748-2861 | |
Dr. John Christian Ward, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8931 Highway 5, Suite A, Lake Elmo, MN 55042 Phone: 952-239-0050 | |
Dr. Tami Rae Andrews, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3511 Lake Elmo Ave N, Lake Elmo, MN 55042 Phone: 651-779-7858 Fax: 651-777-2426 | |
Dr. John Gerard Hilpisch, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 8995 Highway 5, Lake Elmo, MN 55042 Phone: 651-749-5731 Fax: 651-748-5730 | |
Vibrant Chiropractic P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8519 Eagle Point Blvd Ste 175, Lake Elmo, MN 55042 Phone: 651-207-4411 |