Judi L Anderson, CNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Norden, South Dakota. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Medical Center and her current practice location is
512 Main Ave, Lake Norden, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 785-3633.
Judi L Anderson is licensed to practice in South Dakota (license number R031664) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801875265.
Provider's Profile
| Full Name | Judi L Anderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 24 Years |
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| Location | 512 Main Ave, Lake Norden, South Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Judi L Anderson graduated from nursing school in 2000
NPI Data:
- NPI Number: 1801875265
- Provider Enumeration Date: 01/13/2006
- Last Update Date: 05/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 0840244919
- Enrollment ID: I20050310001048
Medical Identifiers
Medical identifiers for Judi L Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801875265 | NPI | - | NPPES |
| 5300462 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R031664 (South Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Medical Center | 8325950215 | 717 |
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. Judi L Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532 |
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| Entity Name | Sanford Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388 |
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| Entity Name | American Advanced Practice Network Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790244341
PECOS PAC ID: 0749517860
Enrollment ID: O20190830001647 |
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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. Judi 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 |
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Judi L Anderson, CNP
Po Box 79,
Lake Norden, SD 57248-0079
Ph: (605) 785-3633 | Judi L Anderson, CNP
512 Main Ave,
Lake Norden, SD 57248-0079
Ph: (605) 785-3633 |
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