Angela Latrice Anderson, in Dumas, AR - Medicare Nurse Practitioner

Angela Latrice Anderson, is a medicare enrolled "Nurse Practitioner - Family" in Dumas, Arkansas. Her current practice location is 145 W Waterman St, Dumas, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 382-4878.

Angela Latrice Anderson is licensed to practice in Arkansas (license number A004789) 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 1750732699.

Contact Information

	Angela Latrice Anderson,
	145 W Waterman St, Dumas, AR 71639-2139
	(870) 382-4878
	(870) 382-4895

Map and Direction

Provider's Profile

Full Name	Angela Latrice Anderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	145 W Waterman St, Dumas, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750732699
Provider Enumeration Date: 06/22/2016
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID: 0941571954
Enrollment ID: I20170810000031

Medical Identifiers

Medical identifiers for Angela Latrice Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750732699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004789 (Arkansas)	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. Angela Latrice Anderson allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365

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. Angela Latrice 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
Angela Latrice Anderson, 1602 Highway 104, White Hall, AR 71602-9479 Ph: (870) 329-4502	Angela Latrice Anderson, 145 W Waterman St, Dumas, AR 71639-2139 Ph: (870) 382-4878

Reviews and Comments

Nurse Practitioner Nurses in Dumas, AR

Nicole Garth, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 W Waterman St, Dumas, AR 71639 Phone: 870-382-0305
Jack Leslie Lock, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Highway 65 S, Dumas, AR 71639 Phone: 870-456-3570
Tonia R Dixon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 W Waterman St, Dumas, AR 71639 Phone: 870-382-3308
Carol L O'neal, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 S Main St, Dumas, AR 71639 Phone: 870-382-4878 Fax: 870-382-4895
Mrs. Leslie Leanne Roberts, APRN-FNP C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Carlton Dr, Dumas, AR 71639 Phone: 870-377-4295
Thomas M Lowman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 W Waterman St, Dumas, AR 71639 Phone: 870-382-4878 Fax: 870-382-4895

Angela Latrice Anderson, - Medicare Nurse Practitioner in Dumas, AR