Mr Nicholas L Anderson, in Neenah, WI

Mr Nicholas L Anderson, is a medicare enrolled "Pediatrics" physician in Neenah, Wisconsin. His current practice location is 130 2nd St, Neenah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 969-7906.

Mr Nicholas L Anderson is licensed to practice in Wisconsin (license number 73724-20) 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 1366976409.

Contact Information

	Mr Nicholas L Anderson,
	130 2nd St, Neenah, WI 54956-2883
	(920) 969-7906
	(920) 969-7979

Map and Direction

Physician's Profile

Full Name	Mr Nicholas L Anderson
Gender	Male
Speciality	Pediatrics
Location	130 2nd St, Neenah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366976409
Provider Enumeration Date: 04/15/2017
Last Update Date: 07/31/2020

Medicare PECOS Information:

PECOS PAC ID: 4486065968
Enrollment ID: I20201205000124

Medical Identifiers

Medical identifiers for Mr Nicholas L Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366976409	NPI	-	NPPES
1366976409	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	73724-20 (Wisconsin)	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. Mr Nicholas L Anderson allows following entities to bill medicare on his behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Mr Nicholas L 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
Mr Nicholas L Anderson, 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 969-7906	Mr Nicholas L Anderson, 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 969-7906

Reviews and Comments

Pediatrics Doctors in Neenah, WI

Jennifer E Szmanda, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 640 Deerwood Ave, Neenah, WI 54956 Phone: 920-727-9982 Fax: 920-727-9983
William J Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600
Dr. Abraham Joseph Liebeskind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neonatology, Neenah, WI 54956 Phone: 920-969-7990 Fax: 920-722-4224
Patricia H Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600
Jessica Mcdonald, DNP, NNP-BC, APNP Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-969-7990
Kevin E. Gentile, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 Fax: 920-751-9667
Kelly M Meyer, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600

Mr Nicholas L Anderson, - Medicare Pediatrics in Neenah, WI