Mrs Avery Karyn Erickson Anderson, MS, RN, FNP-C in Loma Linda, CA

Mrs Avery Karyn Erickson Anderson, MS, RN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Loma Linda, California. Her current practice location is 24785 Stewart St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-4537.

Mrs Avery Karyn Erickson Anderson is licensed to practice in California (license number 95000231) 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 1316369051.

Contact Information

	Mrs Avery Karyn Erickson Anderson, MS, RN, FNP-C
	24785 Stewart St, Loma Linda, CA 92350-1721
	(909) 558-4537
	(909) 558-0433

Map and Direction

Provider's Profile

Full Name	Mrs Avery Karyn Erickson Anderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	24785 Stewart St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316369051
Provider Enumeration Date: 01/15/2014
Last Update Date: 06/25/2015

Medicare PECOS Information:

PECOS PAC ID: 8921337270
Enrollment ID: I20190911002191

Medical Identifiers

Medical identifiers for Mrs Avery Karyn Erickson Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316369051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	734395 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95000231 (California)	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 Avery Karyn Erickson Anderson allows following entities to bill medicare on her behalf.

Entity Name	Coos County Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811981053 PECOS PAC ID: 1759353071 Enrollment ID: O20040818001343

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 Avery Karyn Erickson 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 Avery Karyn Erickson Anderson, MS, RN, FNP-C Po Box 313, Loma Linda, CA 92354-0313 Ph: (909) 800-3768	Mrs Avery Karyn Erickson Anderson, MS, RN, FNP-C 24785 Stewart St, Loma Linda, CA 92350-1721 Ph: (909) 558-4537

Reviews and Comments

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Mrs Avery Karyn Erickson Anderson, MS, RN, FNP-C - Medicare Nurse Practitioner in Loma Linda, CA