Jim Douglas Anderson, MD is a
Neurological Surgery physician based in San Carlos, California. Jim Douglas Anderson is licensed to practice in California (license number G29493) and his current practice location is 23 Granite Ct, San Carlos, California. He can be reached at his office (for appointments etc.) via phone at
(415) 298-6656.
NPI number for Jim Douglas Anderson is 1073974473 and his current mailing address is 23 Granite Ct, San Carlos, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073974473.
Physician's Profile
Full Name | Jim Douglas Anderson |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 23 Granite Ct, San Carlos, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073974473
- Provider Enumeration Date: 03/11/2016
- Last Update Date: 03/11/2016
Medical Identifiers
Medical identifiers for Jim Douglas Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073974473 | NPI | - | NPPES |
G29493 | Other | | CA MEDICAL LICENCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | G29493 (California) | Primary |
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. Jim Douglas Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jim Douglas Anderson, MD 23 Granite Ct, San Carlos, CA 94070-4306 Ph: (415) 298-6656 | Jim Douglas Anderson, MD 23 Granite Ct, San Carlos, CA 94070-4306 Ph: (415) 298-6656 |
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