Jennifer L Anderson, DDS is a medicare enrolled "Dentist - General Practice" provider in Forreston, Illinois. Her current practice location is
208 N. Walnut Ave, Forreston, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 938-2575.
Jennifer L Anderson is licensed to practice in Illinois (license number 019028537) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699902080.
Healthcare Provider's Profile
Full Name | Jennifer L Anderson |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 208 N. Walnut Ave, Forreston, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699902080
- Provider Enumeration Date: 06/12/2009
- Last Update Date: 01/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 8426344227
- Enrollment ID: I20160902001150
Medical Identifiers
Medical identifiers for Jennifer L Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699902080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 019028537 (Illinois) | Primary |
1223G0001X | Dentist - General Practice | 6410 (Wisconsin) | Secondary |
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. Jennifer 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 |
Jennifer L Anderson, DDS Po Box 368, 208 N. Walnut Ave, Forreston, IL 61030 Ph: (815) 938-2575 | Jennifer L Anderson, DDS 208 N. Walnut Ave, Forreston, IL 61030 Ph: (815) 938-2575 |
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