Jack D Anderson, DO - Medicare Family Practice in Tompkinsville, KY

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Jack D Anderson, DO is a medicare enrolled "Family Medicine" physician in Tompkinsville, Kentucky. He went to University Of Pikeville, Kentucky College Of Osteopathic Med and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Monroe Medical Foundation, Inc., Cumberland Family Medical Center, Inc. and his current practice location is 1515 Edmonton Rd, Tompkinsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 487-9272.

Jack D Anderson is licensed to practice in Kentucky (license number 03464) 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 1245527969.

Contact Information

Jack D Anderson, DO
1515 Edmonton Rd,
Tompkinsville, KY 42167-9402
(270) 487-9272
(270) 487-6242

Map and Direction




Physician's Profile

Full NameJack D Anderson
GenderMale
SpecialityFamily Practice
Experience14 Years
Location1515 Edmonton Rd, Tompkinsville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack D Anderson attended and graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2010
  NPI Data:
  • NPI Number: 1245527969
  • Provider Enumeration Date: 07/01/2011
  • Last Update Date: 06/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6103095062
  • Enrollment ID: I20110810000138

Medical Identifiers

Medical identifiers for Jack D Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245527969NPI-NPPES
7100197370MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 03464 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifeline Home HealthTompkinsville, KYHome health agency
Monroe County Medical CenterTompkinsville, KYHospital
T J Samson Community HospitalGlasgow, KYHospital
The Medical Center (bowling Green)Bowling green, KYHospital
Signature Healthcare Of Monroe County Rehab & WellTompkinsville, KYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monroe Medical Foundation, Inc.509270247215
Cumberland Family Medical Center, Inc.6305947789100

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. Jack D Anderson allows following entities to bill medicare on his behalf.
Entity NameMonroe Medical Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134330848
PECOS PAC ID: 5092702472
Enrollment ID: O20040428000177
Entity NameCumberland Family Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306873500
PECOS PAC ID: 6305947789
Enrollment ID: O20120221000433

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. Jack 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 AddressPractice Location Address
Jack D Anderson, DO
Po Box 1080,
Burkesville, KY 42717-1080

Ph: (270) 864-1472		Jack D Anderson, DO
1515 Edmonton Rd,
Tompkinsville, KY 42167-9402

Ph: (270) 487-9272

Reviews and Comments


Family Medicine Doctors in Tompkinsville, KY

Mr. Kenneth Ray Crabtree, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 529 Capp Harlan Road, Tompkinsville, KY 42167
Phone: 270-487-9231    Fax: 270-487-5784
Laura Inabnitt, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Edmonton Rd, Tompkinsville, KY 42167
Phone: 270-487-9272    Fax: 270-487-6242
Dr. Clella Louise Hayes, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 477 Capp Harlan Rd, Tompkinsville, KY 42167
Phone: 270-487-0701    
Dr. Timothy Dale Hume, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Edmonton Rd, Tompkinsville, KY 42167
Phone: 270-487-9272    Fax: 270-487-6242
Caylan Mcpherson, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 606 N Main St, Tompkinsville, KY 42167
Phone: 270-487-6161    Fax: 270-487-8009
Mr. William Michael Carter, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 606 N Main Street, Tompkinsville, KY 42167
Phone: 270-487-6161    Fax: 270-487-8009

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.