Kevin Anderson, MD is a medicare enrolled "General Practice" physician in Ellsworth Afb, South Dakota. His current practice location is
2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 385-3332.
Kevin Anderson is licensed to practice in Virginia (license number 0101275948) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003494816.
Physician's Profile
Full Name | Kevin Anderson |
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Gender | Male |
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Speciality | General Practice |
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Location | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003494816
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345696514
- Enrollment ID: I20231024002044
Medical Identifiers
Medical identifiers for Kevin Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003494816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101275948 (Virginia) | 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. Kevin 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 |
Kevin Anderson, MD 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 Ph: (605) 385-3332 | Kevin Anderson, MD 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 Ph: (605) 385-3332 |
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