Dr John Roger Anderson, DO | |
8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 | |
(208) 664-4455 | |
(208) 664-4159 |
Full Name | Dr John Roger Anderson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 52 Years |
Location | 8611 W Eagle Ridge Rd, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366490773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0102204169 (Virginia) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | O-0349 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Enloe Medical Center | Chico, CA | Hospital |
Adventist Health Simi Valley | Simi valley, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic Llc | 1052217478 | 274 |
Oroville Hospital | 1254234339 | 82 |
Columbus Radiology Physicians Llc | 3971863416 | 59 |
Cumberland Imaging Associates Pc | 4284735051 | 51 |
Jason L Hwang Md Inc | 6103171012 | 50 |
Focus Medical Imaging | 6406999259 | 96 |
Simi Radiology And Imaging Medical Group | 6507845369 | 38 |
Tennessee Valley Radiology Llc | 9133105521 | 30 |
Direct Radiology Pllc | 9436396165 | 33 |
Enloe Medical Center | 9739092388 | 295 |
Intercity Radiology Pc | 9830003847 | 40 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20120710000532 |
Entity Name | Direct Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20140226000947 |
Entity Name | Oroville Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20160411000609 |
Entity Name | Enloe Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20180925003373 |
Entity Name | Jason L Hwang Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811486616 PECOS PAC ID: 6103171012 Enrollment ID: O20181130002547 |
Entity Name | Simi Radiology And Imaging Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730132275 PECOS PAC ID: 6507845369 Enrollment ID: O20181210003272 |
Entity Name | Intercity Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356390736 PECOS PAC ID: 9830003847 Enrollment ID: O20190117002154 |
Entity Name | Radiology Consultants Of Lynchburg Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922037043 PECOS PAC ID: 8022077205 Enrollment ID: O20190711002814 |
Entity Name | Columbus Radiology Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467964718 PECOS PAC ID: 3971863416 Enrollment ID: O20190819001670 |
Entity Name | Cumberland Imaging Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20200115000805 |
Entity Name | Tennessee Valley Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20200414000153 |
Entity Name | Medford Radiological Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20201015001208 |
Entity Name | Benefis Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20211007001729 |
Entity Name | Centra Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20230911000817 |
Entity Name | Focus Medical Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20240213000331 |
Entity Name | Cmsc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20240228003518 |
Mailing Address | Practice Location Address |
---|---|
Dr John Roger Anderson, DO 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 Ph: (208) 664-4455 | Dr John Roger Anderson, DO 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 Ph: (208) 664-4455 |
Brian J Mcnamee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814 Phone: 208-666-3200 Fax: 208-666-3217 | |
Dr. Michael Gerardo Melendez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815 Phone: 208-610-0041 Fax: 208-777-1313 | |
Lauren Gayle Deur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814 Phone: 208-292-2263 Fax: 208-292-3130 | |
Dr. George F. Knight, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 Phone: 208-415-0524 Fax: 208-763-3644 | |
Jeffrey Wayne Grossman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815 Phone: 208-570-3342 | |
Dr. Bryan Douglas Berkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-3000 Fax: 208-625-6301 | |
Dr. Albert Jose Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-6309 Fax: 208-625-6310 |