Billy M Anderson, LICSW LADC is a medicare enrolled "Social Worker" provider in Saint Cloud, Minnesota. His current practice location is
22 Wilson Ave Ne, 209, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 259-7706.
Billy M Anderson is licensed to practice in Minnesota (license number 12688) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033286414.
Healthcare Provider's Profile
| Full Name | Billy M Anderson |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 22 Wilson Ave Ne, Saint Cloud, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033286414
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 08/12/2009
Medicare PECOS Information:
- PECOS PAC ID: 1052720166
- Enrollment ID: I20210430001892
Medical Identifiers
Medical identifiers for Billy M Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033286414 | NPI | - | NPPES |
| 347720700 | Other | MN | MEDICAL ASSISTANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 300215 (Minnesota) | Secondary |
| 104100000X | Social Worker | 12688 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Billy M Anderson allows following entities to bill medicare on his behalf.
| Entity Name | Hennepin County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780790345
PECOS PAC ID: 7911892849
Enrollment ID: O20040218001012 |
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| Entity Name | Harvodes Bereavement And Loss Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053569798
PECOS PAC ID: 0042697559
Enrollment ID: O20220520002092 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Billy M Anderson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Billy M Anderson, LICSW LADC
22 Wilson Ave Ne, 209,
Saint Cloud, MN 56304-0440
Ph: (320) 259-7706 | Billy M Anderson, LICSW LADC
22 Wilson Ave Ne, 209,
Saint Cloud, MN 56304-0440
Ph: (320) 259-7706 |
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