Dr Paul S Anderson, MD is a medicare enrolled "Anesthesiology" physician in Advance, North Carolina. His current practice location is
128 Peachtree Ln Ste B, Advance, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 998-3396.
Dr Paul S Anderson is licensed to practice in North Carolina (license number 2013-00140) 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 1528250396.
Physician's Profile
Full Name | Dr Paul S Anderson |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 128 Peachtree Ln Ste B, Advance, North Carolina |
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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: 1528250396
- Provider Enumeration Date: 08/15/2007
- Last Update Date: 12/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587750609
- Enrollment ID: I20140213000028
Medical Identifiers
Medical identifiers for Dr Paul S Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528250396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 245659 (New York) | Secondary |
207L00000X | Anesthesiology | 2013-00140 (North Carolina) | 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 Paul S Anderson allows following entities to bill medicare on his behalf.
Entity Name | Salem Professional Anesthesia Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538171897 PECOS PAC ID: 9133180326 Enrollment ID: O20041108000480 |
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Entity Name | Anesthesia Care Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20090813000373 |
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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 Paul 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 Paul S Anderson, MD 128 Peachtree Ln Ste B, Advance, NC 27006-6783 Ph: (336) 998-3396 | Dr Paul S Anderson, MD 128 Peachtree Ln Ste B, Advance, NC 27006-6783 Ph: (336) 998-3396 |
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