Thomas Ray Anderson, DDS is a medicare enrolled "Dentist - General Practice" provider in Kemp, Texas. His current practice location is
113 Hwy. 274 S., Kemp, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 498-8757.
Thomas Ray Anderson is licensed to practice in Texas (license number 12787) 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 1720299670.
Healthcare Provider's Profile
Full Name | Thomas Ray Anderson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 113 Hwy. 274 S., Kemp, Texas |
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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: 1720299670
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244547768
- Enrollment ID: I20150916001825
Medical Identifiers
Medical identifiers for Thomas Ray Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720299670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12787 (Texas) | Primary |
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. Thomas Ray 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 |
Thomas Ray Anderson, DDS Po Box 348, 113 Hwy. 274 S., Kemp, TX 75143-0348 Ph: (903) 498-8757 | Thomas Ray Anderson, DDS 113 Hwy. 274 S., Kemp, TX 75143-0348 Ph: (903) 498-8757 |
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