Dr Douglas L Anderson, PSYD is a medicare enrolled "Psychologist" provider in Sioux Falls, South Dakota. He graduated from healthcare school in 1994 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice North American Baptist Seminary and his current practice location is
2109 S Norton Ave, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 334-2696.
Dr Douglas L Anderson is licensed to practice in South Dakota (license number 353) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750381851.
Healthcare Provider's Profile
| Full Name | Dr Douglas L Anderson |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 31 Years |
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| Location | 2109 S Norton Ave, Sioux Falls, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas L Anderson graduated from medical school in 1994
NPI Data:
- NPI Number: 1750381851
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012169865
- Enrollment ID: I20121130000548
Medical Identifiers
Medical identifiers for Dr Douglas L Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750381851 | NPI | - | NPPES |
| 6550970 | Medicaid | SD | |
| 3059 | Other | SD | BCBS |
| 21966 | Other | | SIOUX VALLEY |
| 7H877AN | Other | MN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 1141 (South Dakota) | Secondary |
| 103T00000X | Psychologist | 353 (South Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North American Baptist Seminary | 8628979721 | 15 |
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. Dr Douglas L Anderson allows following entities to bill medicare on his behalf.
| Entity Name | North American Baptist Seminary |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962503383
PECOS PAC ID: 8628979721
Enrollment ID: O20040120000573 |
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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. Dr Douglas L 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 |
|---|
Dr Douglas L Anderson, PSYD
2109 S Norton Ave,
Sioux Falls, SD 57105-3730
Ph: (605) 334-2696 | Dr Douglas L Anderson, PSYD
2109 S Norton Ave,
Sioux Falls, SD 57105-3730
Ph: (605) 334-2696 |
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