Dr Mark Allo Anderson, MD is a medicare enrolled "Family Medicine" physician in Tijeras, New Mexico. His current practice location is
40 Campo Rd, Tijeras, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 610-5421.
Dr Mark Allo Anderson is licensed to practice in Michigan (license number 4301078206) 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 1861494866.
Physician's Profile
Full Name | Dr Mark Allo Anderson |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 40 Campo Rd, Tijeras, New Mexico |
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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: 1861494866
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 11/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244529568
- Enrollment ID: I20160510000792
Medical Identifiers
Medical identifiers for Dr Mark Allo Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861494866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301078206 (Michigan) | Primary |
207Q00000X | Family Medicine | 45131-020 (Wisconsin) | Secondary |
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 Mark Allo Anderson allows following entities to bill medicare on his behalf.
Entity Name | Blue Ocean Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235791203 PECOS PAC ID: 1153651112 Enrollment ID: O20190918001926 |
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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 Mark Allo 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 Mark Allo Anderson, MD 40 Campo Rd, Tijeras, NM 87059-7615 Ph: (505) 610-5421 | Dr Mark Allo Anderson, MD 40 Campo Rd, Tijeras, NM 87059-7615 Ph: (505) 610-5421 |
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