Keon Anderson, DDS in Fort Worth, TX - Medicare Dentist Provider

Keon Anderson, DDS is a medicare enrolled "Dentist - General Practice" provider in Fort Worth, Texas. His current practice location is 100 N Lamar St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-3567.

Keon Anderson is licensed to practice in Texas (license number 31042) 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 1891178539.

Contact Information

	Keon Anderson, DDS
	100 N Lamar St, Fort Worth, TX 76196-0216
	(817) 702-3567
	(817) 569-1421

Map and Direction

Healthcare Provider's Profile

Full Name	Keon Anderson
Gender	Male
Speciality	Dentist - General Practice
Location	100 N Lamar St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891178539
Provider Enumeration Date: 06/30/2015
Last Update Date: 10/03/2018

Medicare PECOS Information:

PECOS PAC ID: 3072858752
Enrollment ID: I20181228000255

Medical Identifiers

Medical identifiers for Keon Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891178539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	31042 (Texas)	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. Keon Anderson allows following entities to bill medicare on his behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Keon 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
Keon Anderson, DDS Po Box 732973, Dallas, TX 75373-2973 Ph: (817) 702-2450	Keon Anderson, DDS 100 N Lamar St, Fort Worth, TX 76196-0216 Ph: (817) 702-3567

Reviews and Comments

Dentist in Fort Worth, TX

Richard Irwin Marks, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Bellvue Dr, Fort Worth, TX 76134 Phone: 817-293-2088 Fax: 817-293-8377
Miss Eunjin M Suh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5416 Basswood Blvd, Fort Worth, TX 76137 Phone: 817-656-1215 Fax: 877-230-8349
Dr. Joshua Michael Corcran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4833 S Hulen St Ste 101, Fort Worth, TX 76132 Phone: 817-294-4600
Dr. Claudia Appiah, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6708 Azle Ave Ste 1, Fort Worth, TX 76135 Phone: 817-237-3232
Dr. Michael D Cosgrove, DDS, PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 5th Ave, Fort Worth, TX 76104 Phone: 817-335-3555 Fax: 817-332-2955
Dr. Kevin M Altieri, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5521 Bellaire Dr S, Suite202, Fort Worth, TX 76109 Phone: 817-294-5513
Mr. Royce Willard Reese Sr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8525 Boat Club Rd, Reese Dental At Lake Country, Pllc, Fort Worth, TX 76179 Phone: 817-500-5288 Fax: 817-500-5288

Keon Anderson, DDS - Medicare Dentist in Fort Worth, TX