Misty Kay Anderson, DO | |
520 Chautauqua Blvd, Valley City, ND 58072-3145 | |
(701) 845-6000 | |
Not Available |
Full Name | Misty Kay Anderson |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 520 Chautauqua Blvd, Valley City, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417109760 | NPI | - | NPPES |
15441 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | PT 11654 (North Dakota) | Secondary |
207R00000X | Internal Medicine | 11654 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi Health At Home | Valley city, ND | Home health agency |
Hospice Of Red River Valley | Fargo, ND | Hospice |
Chi Health At Home | Valley city, ND | Hospice |
Chi Mercy Health | Valley city, ND | Hospital |
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Jamestown Regional Medical Center | Jamestown, ND | Hospital |
Sheyenne Care Center | Valley city, ND | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Clinic North | 4284546151 | 76 |
Sanford Medical Center Fargo | 8426967803 | 1085 |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
Entity Name | Mercy Hospital Of Valley City |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20040701000086 |
Entity Name | Mercy Hospital Of Valley City |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20070611000170 |
Entity Name | Sanford Medical Center Fargo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
---|---|
Misty Kay Anderson, DO Po Box 2010, Fargo, ND 58122-0605 Ph: () - | Misty Kay Anderson, DO 520 Chautauqua Blvd, Valley City, ND 58072-3145 Ph: (701) 845-6000 |
Madeline Z Luke, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 Fax: 701-845-6150 | |
Andrew Herting, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 |