Jerrod Anderson, | |
3866 Belfast Keller Rd Ste 102, Richmond Hill, GA 31324-6865 | |
(912) 819-9620 | |
(912) 819-9621 |
Full Name | Jerrod Anderson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 3866 Belfast Keller Rd Ste 102, Richmond Hill, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013302587 | NPI | - | NPPES |
218941001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-10151 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
White River Medical Center | Batesville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
White River Health System Inc | 0143134270 | 151 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410229 PECOS PAC ID: 0143134270 Enrollment ID: O20031203000615 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235101601 PECOS PAC ID: 0143134270 Enrollment ID: O20031204000986 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710952650 PECOS PAC ID: 0143134270 Enrollment ID: O20031206000064 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568432144 PECOS PAC ID: 0143134270 Enrollment ID: O20040830000837 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568442127 PECOS PAC ID: 0143134270 Enrollment ID: O20060221000012 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396616 PECOS PAC ID: 0143134270 Enrollment ID: O20060830000031 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871609743 PECOS PAC ID: 0143134270 Enrollment ID: O20070223000663 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851470371 PECOS PAC ID: 0143134270 Enrollment ID: O20070228000020 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467519249 PECOS PAC ID: 0143134270 Enrollment ID: O20070503000423 |
Entity Name | St Bernard Community Hospital Corporation |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1962410183 PECOS PAC ID: 7810897485 Enrollment ID: O20071010000024 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831495423 PECOS PAC ID: 0143134270 Enrollment ID: O20110426000404 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477523348 PECOS PAC ID: 0143134270 Enrollment ID: O20110510000339 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962482430 PECOS PAC ID: 0143134270 Enrollment ID: O20110614000786 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760452643 PECOS PAC ID: 0143134270 Enrollment ID: O20111003000187 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992079651 PECOS PAC ID: 0143134270 Enrollment ID: O20120326000612 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578543070 PECOS PAC ID: 0143134270 Enrollment ID: O20120725000268 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144609751 PECOS PAC ID: 0143134270 Enrollment ID: O20151211000254 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962878207 PECOS PAC ID: 0143134270 Enrollment ID: O20160318001395 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104275486 PECOS PAC ID: 0143134270 Enrollment ID: O20170119000552 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013451186 PECOS PAC ID: 0143134270 Enrollment ID: O20170125002953 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154770436 PECOS PAC ID: 0143134270 Enrollment ID: O20170216001323 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144742768 PECOS PAC ID: 0143134270 Enrollment ID: O20170922001273 |
Mailing Address | Practice Location Address |
---|---|
Jerrod Anderson, 16 Hospital Cir Ste A, Batesville, AR 72501-7343 Ph: (870) 262-5545 | Jerrod Anderson, 3866 Belfast Keller Rd Ste 102, Richmond Hill, GA 31324-6865 Ph: (912) 819-9620 |
Daniel Aaron Brody, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3776 Us Highway 17, Richmond Hill, GA 31324 Phone: 912-350-7020 | |
Dr. Jennifer Leigh Kirkman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10055 Ford Ave Ste 3a, Richmond Hill, GA 31324 Phone: 888-912-3648 | |
Dr. Russell William Lake, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10055 Ford Avenue, Suite 3a, Richmond Hill, GA 31324 Phone: 912-819-9601 Fax: 912-819-9605 | |
Dr. Grant Allan Foster, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 58 Grace Ct, Richmond Hill, GA 31324 Phone: 912-727-3393 | |
Dr. Deronda Felicia Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1604 River Oaks Dr, Richmond Hill, GA 31324 Phone: 912-445-5183 Fax: 912-445-5183 | |
Rebecca Marshburn Sellers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 89 Interchange Dr, Richmond Hill, GA 31324 Phone: 912-527-5301 Fax: 912-756-4740 |