Matthew Joseph Anderson, | |
6 13th Ave E, Polson, MT 59860-5315 | |
(406) 883-5680 | |
(406) 883-8910 |
Full Name | Matthew Joseph Anderson |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 6 13th Ave E, Polson, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033641550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MED-PHYS-LIC-117887 (Montana) | Primary |
Entity Name | Providence St Joseph Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
Mailing Address | Practice Location Address |
---|---|
Matthew Joseph Anderson, Po Box 12, Liberty Lake, WA 99019-0012 Ph: (866) 747-2455 | Matthew Joseph Anderson, 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-5680 |
Donald Paul Ericksen, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 | |
Michael Righetti, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-8250 Fax: 406-883-8254 | |
Joost Gazendam, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8960 | |
Michael Patrick Wright, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 |