Mary Elizabeth Anderson, is a medicare enrolled "Dermatology" physician in Jackson, Florida. Her current practice location is
915 W. Monroe Street, Ste 300, Jackson, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 903-4345.
Mary Elizabeth Anderson is licensed to practice in Florida (license number ME15118677) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265960264.
Physician's Profile
Full Name | Mary Elizabeth Anderson |
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Gender | Female |
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Speciality | Dermatology |
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Location | 915 W. Monroe Street, Jackson, Florida |
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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: 1265960264
- Provider Enumeration Date: 06/02/2017
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638441447
- Enrollment ID: I20210802002163
Medical Identifiers
Medical identifiers for Mary Elizabeth Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265960264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | ME15118677 (Florida) | Primary |
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. Mary Elizabeth Anderson allows following entities to bill medicare on her behalf.
Entity Name | Oliver Street 5.01(a) Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
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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. Mary Elizabeth 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 |
Mary Elizabeth Anderson, 915 W. Monroe Street, Ste 300, Jackson, FL 32204 Ph: (904) 903-4345 | Mary Elizabeth Anderson, 915 W. Monroe Street, Ste 300, Jackson, FL 32204 Ph: (904) 903-4345 |
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