Charlene Kantack Anderson, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" physician in Newbury Park, California. Her current practice location is
238 Dickenson Ave, Newbury Park, California. You can reach out to her office (for appointments etc.) via phone at
(805) 551-5420.
Charlene Kantack Anderson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003344003.
Physician's Profile
Full Name | Charlene Kantack Anderson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 238 Dickenson Ave, Newbury Park, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Charlene Kantack Anderson attended and graduated from in
NPI Data:
- NPI Number: 1003344003
- Provider Enumeration Date: 06/02/2017
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charlene Kantack Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003344003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PT16045 (California) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | 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. Charlene Kantack 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 |
Charlene Kantack Anderson, PHYSICAL THERAPIST 238 Dickenson Ave, Newbury Park, CA 91320-4326 Ph: () - | Charlene Kantack Anderson, PHYSICAL THERAPIST 238 Dickenson Ave, Newbury Park, CA 91320-4326 Ph: (805) 551-5420 |
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