Dr Blaine P Andersen, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in Logan, Utah. His current practice location is
1300 N 500 E, #260, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 753-3400.
Dr Blaine P Andersen is licensed to practice in Utah (license number 1788168905) 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 1538279609.
Physician's Profile
| Full Name | Dr Blaine P Andersen |
|---|
| Gender | Male |
|---|
| Speciality | Plastic Surgery - Surgery Of The Hand |
|---|
| Location | 1300 N 500 E, Logan, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1538279609
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 11/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 2769522390
- Enrollment ID: I20091211000682
Medical Identifiers
Medical identifiers for Dr Blaine P Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538279609 | NPI | - | NPPES |
| 003052200 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 1788161205 (Utah) | Secondary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 1788168905 (Utah) | 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. Dr Blaine P Andersen 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 Blaine P Andersen, MD
1300 N 500 E, #260,
Logan, UT 84341-2408
Ph: (435) 753-3400 | Dr Blaine P Andersen, MD
1300 N 500 E, #260,
Logan, UT 84341-2408
Ph: (435) 753-3400 |
Reviews and Comments