Phan Tasco Anderson, PA is a
Physician Assistant based in Kathleen, Georgia. Phan Tasco Anderson is licensed to practice in Colorado (license number 1457) and her current practice location is
203 Greythorne Dr, Kathleen, Georgia. She can be reached at her office (for appointments etc.) via phone at
(719) 337-9392.
NPI number for Phan Tasco Anderson is 1265570105 and her current mailing address is 203 Greythorne Dr, Kathleen, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265570105.
Provider's Profile
| Full Name | Phan Tasco Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 203 Greythorne Dr, Kathleen, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265570105
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 01/18/2012
Medical Identifiers
Medical identifiers for Phan Tasco Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265570105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1457 (Colorado) | 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. Phan Tasco Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Phan Tasco Anderson, PA
203 Greythorne Dr,
Kathleen, GA 31047-5304
Ph: (719) 337-9392 | Phan Tasco Anderson, PA
203 Greythorne Dr,
Kathleen, GA 31047-5304
Ph: (719) 337-9392 |
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