Mrs Amorette Leann Anderson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Roscommon, Michigan. Her current practice location is
234 Lake St, Roscommon, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 275-1200.
Mrs Amorette Leann Anderson is licensed to practice in Alaska (license number 999) 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 1205025046.
Provider's Profile
| Full Name | Mrs Amorette Leann Anderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 234 Lake St, Roscommon, Michigan |
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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: 1205025046
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 08/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 3678640711
- Enrollment ID: I20090429000163
Medical Identifiers
Medical identifiers for Mrs Amorette Leann Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205025046 | NPI | - | NPPES |
| 999 | Other | AK | STATE LICENSE |
| 4704205103 | Other | MI | MICHIGAN STATE LICENSE |
| CL1391 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 999 (Alaska) | 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. Mrs Amorette Leann Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Munson Healthcare Grayling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710383351
PECOS PAC ID: 2062736655
Enrollment ID: O20150326000110 |
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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. Mrs Amorette Leann 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 |
|---|
Mrs Amorette Leann Anderson, FNP-BC
234 Lake St,
Roscommon, MI 48653-9203
Ph: (989) 275-1200 | Mrs Amorette Leann Anderson, FNP-BC
234 Lake St,
Roscommon, MI 48653-9203
Ph: (989) 275-1200 |
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