Lauren Brooke Anderson, PA-C is a medicare enrolled "Physician Assistant" in Speedwell, Tennessee. Her current practice location is
181 Powell Valley School Ln, Speedwell, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 419-5070.
Lauren Brooke Anderson is licensed to practice in Tennessee (license number 2028) 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 1689922056.
Provider's Profile
| Full Name | Lauren Brooke Anderson |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 181 Powell Valley School Ln, Speedwell, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689922056
- Provider Enumeration Date: 08/16/2012
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082851365
- Enrollment ID: I20171204000568
Medical Identifiers
Medical identifiers for Lauren Brooke Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689922056 | NPI | - | NPPES |
| 1487680518 | Other | IN | GROUP NPI |
| 000000340608 | Other | IN | ANTHEM |
| 1629330923 | Other | TN | GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 99056427A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 10001514A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 2028 (Tennessee) | 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. Lauren Brooke 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 |
|---|
Lauren Brooke Anderson, PA-C
181 Powell Valley School Ln,
Speedwell, TN 37870-7431
Ph: (423) 419-5070 | Lauren Brooke Anderson, PA-C
181 Powell Valley School Ln,
Speedwell, TN 37870-7431
Ph: (423) 419-5070 |
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