Parker Lewis Anderson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. His current practice location is
3901 Beaubien St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 745-5437.
Parker Lewis Anderson is licensed to practice in * (Not Available) (license number ) 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 1629825112.
Physician's Profile
Full Name | Parker Lewis Anderson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3901 Beaubien St, Detroit, Michigan |
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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: 1629825112
- Provider Enumeration Date: 05/02/2024
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759823057
- Enrollment ID: I20240601000386
Medical Identifiers
Medical identifiers for Parker Lewis Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629825112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 5151016927 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Parker Lewis 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 |
Parker Lewis Anderson, DO 3901 Beaubien St, Detroit, MI 48201-2119 Ph: () - | Parker Lewis Anderson, DO 3901 Beaubien St, Detroit, MI 48201-2119 Ph: (313) 745-5437 |
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