Mr Steven Edward Anderson Ii, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Atlantic Beach, Florida. His current practice location is
122 Pine St, Atlantic Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 662-2148.
Mr Steven Edward Anderson Ii is licensed to practice in New Mexico (license number 77579) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427739499.
Provider's Profile
| Full Name | Mr Steven Edward Anderson Ii |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 122 Pine St, Atlantic Beach, Florida |
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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: 1427739499
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153351655
- Enrollment ID: I20240228002820
Medical Identifiers
Medical identifiers for Mr Steven Edward Anderson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427739499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 9465085 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 77579 (New Mexico) | 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. Mr Steven Edward Anderson Ii allows following entities to bill medicare on his behalf.
| Entity Name | Main Street Anesthesia Of New Mexico, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275010985
PECOS PAC ID: 3476807538
Enrollment ID: O20181108002622 |
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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. Mr Steven Edward Anderson Ii 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 Steven Edward Anderson Ii,
122 Pine St,
Atlantic Beach, FL 32233-4012
Ph: (904) 662-2148 | Mr Steven Edward Anderson Ii,
122 Pine St,
Atlantic Beach, FL 32233-4012
Ph: (904) 662-2148 |
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