Mr Christian B Anderson, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Ivins, Utah. His current practice location is
272 East Center Street Suite 102, Ivins, Utah. You can reach out to his office (for appointments etc.) via phone at
(307) 413-3752.
Mr Christian B Anderson is licensed to practice in Wyoming (license number 7168A) 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 1861538860.
Physician's Profile
Full Name | Mr Christian B Anderson |
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Gender | Male |
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Speciality | Dermatology - Mohs-micrographic Surgery |
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Location | 272 East Center Street Suite 102, Ivins, Utah |
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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: 1861538860
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143269381
- Enrollment ID: I20050504000282
Medical Identifiers
Medical identifiers for Mr Christian B Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861538860 | NPI | - | NPPES |
7168A | Other | WY | STATE LISCENSE NUMBER |
12134634-1204 | Other | UT | STATE LISCENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 7168A (Wyoming) | 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. Mr Christian B Anderson allows following entities to bill medicare on his behalf.
Entity Name | Cheyenne Skin Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740427509 PECOS PAC ID: 4183772122 Enrollment ID: O20090501000296 |
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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. Mr Christian B 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 |
Mr Christian B Anderson, DO 756 W Shinava Dr, Ivins, UT 84738-6713 Ph: (307) 413-3752 | Mr Christian B Anderson, DO 272 East Center Street Suite 102, Ivins, UT 84738-6456 Ph: (307) 413-3752 |
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