Mikala Brooke Anderson, DO in Texarkana, TX

Mikala Brooke Anderson, DO is a medicare enrolled "Pediatrics" physician in Texarkana, Texas. Her current practice location is 1411 College Dr, Texarkana, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 791-1110.

Mikala Brooke Anderson is licensed to practice in Texas (license number S7168) 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 1841729480.

Contact Information

	Mikala Brooke Anderson, DO
	1411 College Dr, Texarkana, TX 75503-3533
	(903) 791-1110
	(903) 791-9353

Map and Direction

Physician's Profile

Full Name	Mikala Brooke Anderson
Gender	Female
Speciality	Pediatrics
Location	1411 College Dr, Texarkana, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841729480
Provider Enumeration Date: 06/07/2017
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 0143646919
Enrollment ID: I20200811004055

Medical Identifiers

Medical identifiers for Mikala Brooke Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841729480	NPI	-	NPPES
S7168	Other	TX	TMB

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	S7168 (Texas)	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. Mikala Brooke Anderson allows following entities to bill medicare on her behalf.

Entity Name	East Texas Border Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030

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. Mikala Brooke 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
Mikala Brooke Anderson, DO Po Box 1326, Marshall, TX 75671-1326 Ph: (903) 927-3782	Mikala Brooke Anderson, DO 1411 College Dr, Texarkana, TX 75503-3533 Ph: (903) 791-1110

Reviews and Comments

Pediatrics Doctors in Texarkana, TX

Dr. Ann Marie Rose Baker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4503 Texas Blvd., Texarkana, TX 75503 Phone: 903-792-4003 Fax: 903-794-6743
Debra Shanelle Wright-bowers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Christina A Payne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Tina Etminan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-927-1764
Zachariah W. King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Dr. Kevin Earl Kramer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Dr. Cheryl L Saul-sehy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525

Mikala Brooke Anderson, DO - Medicare Pediatrics in Texarkana, TX