Mr Kade Douglas Anderson, PA is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Idaho Falls, Idaho. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ascend Llc and his current practice location is
2001 S Woodruff Ave Ste 9, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 419-3002.
Mr Kade Douglas Anderson is licensed to practice in Idaho (license number PA-950) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699043315.
Provider's Profile
| Full Name | Mr Kade Douglas Anderson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 2001 S Woodruff Ave Ste 9, Idaho Falls, Idaho |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Kade Douglas Anderson graduated from nursing school in 2011
NPI Data:
- NPI Number: 1699043315
- Provider Enumeration Date: 12/08/2011
- Last Update Date: 02/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547426900
- Enrollment ID: I20120730000590
Medical Identifiers
Medical identifiers for Mr Kade Douglas Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699043315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-950 (Idaho) | Secondary |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | PA-950 (Idaho) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | PA-950 (Idaho) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | PA-950 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ascend Llc | 5496179574 | 8 |
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. Mr Kade Douglas 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 |
|---|
Mr Kade Douglas Anderson, PA
2001 S Woodruff Ave Ste 9,
Idaho Falls, ID 83404-6371
Ph: (208) 419-3002 | Mr Kade Douglas Anderson, PA
2001 S Woodruff Ave Ste 9,
Idaho Falls, ID 83404-6371
Ph: (208) 419-3002 |
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