Dr Luis M Anderson, MD is a medicare enrolled "Pediatrics" physician in Saint Augustine, Florida. His current practice location is
3670 Us 1 S Ste 300b, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 479-9501.
Dr Luis M Anderson is licensed to practice in Florida (license number ME0089595) 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 1649337635.
Physician's Profile
Full Name | Dr Luis M Anderson |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 3670 Us 1 S Ste 300b, Saint Augustine, Florida |
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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: 1649337635
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 02/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557775103
- Enrollment ID: I20210122001462
Medical Identifiers
Medical identifiers for Dr Luis M Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649337635 | NPI | - | NPPES |
37560 | Other | FL | BCBS |
269304600 | Medicaid | FL | |
7201378 | Other | FL | AETNA |
650598984 | Other | FL | TAX ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | ME0089595 (Florida) | 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 Luis M Anderson allows following entities to bill medicare on his behalf.
Entity Name | Dyersburg Family Walk-in Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174712780 PECOS PAC ID: 5991793879 Enrollment ID: O20040501000299 |
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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 Luis M 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 Luis M Anderson, MD 3670 Us 1 S Ste 300b, Saint Augustine, FL 32086-6354 Ph: (904) 479-9501 | Dr Luis M Anderson, MD 3670 Us 1 S Ste 300b, Saint Augustine, FL 32086-6354 Ph: (904) 479-9501 |
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