Philip Bradley Anderson, MD | |
2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | |
(615) 849-5685 | |
Not Available |
Full Name | Philip Bradley Anderson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2700 Se Stratus Ave, Mcminnville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780673343 | NPI | - | NPPES |
3376285 | Medicaid | TN | |
4225056 | Other | AETNA | |
500640579 | Medicaid | OR | |
0129072 | Other | TN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD18177 (Tennessee) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD23029 (Oregon) | Primary |
Entity Name | Willamette Valley Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Philip Bradley Anderson, MD 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 Ph: (615) 849-5685 | Philip Bradley Anderson, MD 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 Ph: (615) 849-5685 |
Sally L Godard, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
Holly Hoch, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 627 N Evans, Mcminnville, OR 97128 Phone: 503-434-7523 | |
Dr. Jim A James, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-474-2722 Fax: 503-474-3306 | |
Dr. Veneta Dimitrova Stoyanova, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 420 Ne 5th St, Family And Youth Programs, Mcminnville, OR 97128 Phone: 503-957-4185 Fax: 503-418-5775 | |
Joseph B Arnold, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 |