Dr Kenneth Mark Anderson, DDS,MS in Memphis, TN

Dr Kenneth Mark Anderson, DDS,MS is a medicare enrolled "Dentist - Oral And Maxillofacial Pathology" provider in Memphis, Tennessee. His current practice location is 875 Union Ave, Room C309, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 448-5876.

Dr Kenneth Mark Anderson is licensed to practice in Tennessee (license number DDS8053) 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 1245316017.

Contact Information

	Dr Kenneth Mark Anderson, DDS,MS
	875 Union Ave, Room C309, Memphis, TN 38163-0001
	(901) 448-5876
	(901) 448-6835

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Mark Anderson
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Pathology
Location	875 Union Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245316017
Provider Enumeration Date: 10/27/2006
Last Update Date: 09/05/2019

Medicare PECOS Information:

PECOS PAC ID: 0042292146
Enrollment ID: I20040603001384

Medical Identifiers

Medical identifiers for Dr Kenneth Mark Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245316017	NPI	-	NPPES
4075323	Other	TN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0106X	Dentist - Oral And Maxillofacial Pathology	DDS8053 (Tennessee)	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. Dr Kenneth Mark Anderson allows following entities to bill medicare on his behalf.

Entity Name	University Of Tennessee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780686436 PECOS PAC ID: 3072421213 Enrollment ID: O20031119000671

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 Kenneth Mark 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 Kenneth Mark Anderson, DDS,MS 875 Union Ave Rm C309, Memphis, TN 38163-2110 Ph: (901) 448-2569	Dr Kenneth Mark Anderson, DDS,MS 875 Union Ave, Room C309, Memphis, TN 38163-0001 Ph: (901) 448-5876

Reviews and Comments

Dentist in Memphis, TN

Dr. Yousef Odeh Jefferson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2953 Broad Ave, Memphis, TN 38112 Phone: 901-842-3171
Dr. Mark David Devincenzi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2805 Summer Oaks Dr, Memphis, TN 38134 Phone: 901-881-0483
Dr. David Richard Cagna, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Uthsc College Of Dentistry, 875 Union Avenue, Memphis, TN 38163 Phone: 901-448-6642 Fax: 901-448-1294
Dr. Thomas Henry Shipmon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5170 Sanderlin Ave, Suite 203, Memphis, TN 38117 Phone: 901-767-3603 Fax: 901-761-1969
Dr. Robert Wood Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990
Ms. Ragonva Shante Walls, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1273 E Raines Rd, Memphis, TN 38116 Phone: 901-398-6435
Dr. John Douglas Seeberg, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 875 Union Ave, Memphis, TN 38163 Phone: 901-448-6267 Fax: 901-448-2671

Dr Kenneth Mark Anderson, DDS,MS - Medicare Dentist in Memphis, TN