Dr Gregory S Anderson, DO is a medicare enrolled "General Practice" physician in Red Lake, Minnesota. His current practice location is
Hwy 1 Hospital Drive, Box 497, Red Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 679-3912.
Dr Gregory S Anderson is licensed to practice in Minnesota (license number 32831) 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 1033140561.
Physician's Profile
Full Name | Dr Gregory S Anderson |
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Gender | Male |
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Speciality | General Practice |
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Location | Hwy 1 Hospital Drive, Red Lake, Minnesota |
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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: 1033140561
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 02/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 5395929459
- Enrollment ID: I20110414000074
Medical Identifiers
Medical identifiers for Dr Gregory S Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033140561 | NPI | - | NPPES |
34G00AN | Other | MN | BC/BS OF MN |
476753500 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 32831 (Minnesota) | 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. Dr Gregory S Anderson allows following entities to bill medicare on his behalf.
Entity Name | Phs Indian Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287 |
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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. Dr Gregory S 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 |
Dr Gregory S Anderson, DO Po Box 497, Redlake, MN 56671-0497 Ph: (218) 679-3912 | Dr Gregory S Anderson, DO Hwy 1 Hospital Drive, Box 497, Red Lake, MN 56671-0497 Ph: (218) 679-3912 |
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