Dr Sean D Anderson, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Ogden, Utah. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2011 and has 13 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Mountainstar Cardiology St Marks Llc and his current practice location is
5405 S 500 E Ste 202, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 475-1928.
Dr Sean D Anderson is licensed to practice in Utah (license number 5585387-1204) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063701217.
Physician's Profile
| Full Name | Dr Sean D Anderson |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 13 Years |
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| Location | 5405 S 500 E Ste 202, Ogden, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Sean D Anderson attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2011
NPI Data:
- NPI Number: 1063701217
- Provider Enumeration Date: 03/28/2011
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810205317
- Enrollment ID: I20210406001318
Medical Identifiers
Medical identifiers for Dr Sean D Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063701217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | O-0868 (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 5585387-1204 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mountainstar Cardiology St Marks Llc | 2961661855 | 32 |
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 Sean D Anderson allows following entities to bill medicare on his behalf.
| Entity Name | Mountainstar Cardiology St Marks Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437446168
PECOS PAC ID: 2961661855
Enrollment ID: O20120313000497 |
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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 Sean D 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 |
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Dr Sean D Anderson, DO
Po Box 741729,
Atlanta, GA 30374-1729
Ph: () - | Dr Sean D Anderson, DO
5405 S 500 E Ste 202,
Ogden, UT 84405-7419
Ph: (801) 475-1928 |
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