Kathy J Anderson, MD is a medicare enrolled "General Practice" physician in Fort Madison, Iowa. She went to University Of Wisconsin School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Southeast Iowa Regional Medical Center Inc and her current practice location is
5409 Avenue O, Fort Madison, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 376-2134.
Kathy J Anderson is licensed to practice in Iowa (license number 22911) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285636100.
Physician's Profile
| Full Name | Kathy J Anderson |
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| Gender | Female |
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| Speciality | General Practice |
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| Experience | 45 Years |
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| Location | 5409 Avenue O, Fort Madison, Iowa |
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| Accepts Medicare Assignments | Yes. She 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:
- Kathy J Anderson attended and graduated from University Of Wisconsin School Of Medicine in 1979
NPI Data:
- NPI Number: 1285636100
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698819068
- Enrollment ID: I20100223000628
Medical Identifiers
Medical identifiers for Kathy J Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285636100 | NPI | - | NPPES |
| 1194910 | Medicaid | IA | |
| 45019 | Other | IA | WELLMARK/BLUE CROSS |
| 080122362 | Other | IA | RAILROAD MEDICARE |
| IA0121 | Other | IA | JOHN DEERE HEALTH CARE |
| 25671 | Other | IA | IOWA HEALTH SOLUTIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 22911 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Iowa Regional Medical Center Inc | 3870496417 | 202 |
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. Kathy J Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Iowa Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20040130000139 |
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| Entity Name | Fort Madison Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083764393
PECOS PAC ID: 8729971841
Enrollment ID: O20040203001066 |
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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. Kathy J 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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Kathy J Anderson, MD
5409 Avenue O,
Fort Madison, IA 52627-9601
Ph: (319) 376-2134 | Kathy J Anderson, MD
5409 Avenue O,
Fort Madison, IA 52627-9601
Ph: (319) 376-2134 |
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