Ian Radford Anderson, DPT in South Lake Tahoe, CA - Medicare Physical Therapy Provider

Ian Radford Anderson, DPT is a medicare enrolled "Physical Therapist" provider in South Lake Tahoe, California. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Pt Revolution Physical Therapy Pc and his current practice location is 2038 Lake Tahoe Blvd, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 208-9910.

Ian Radford Anderson is licensed to practice in California (license number 295037) 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 1447769997.

Contact Information

	Ian Radford Anderson, DPT
	2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499
	(530) 208-9910
	(530) 285-2001

Map and Direction

Healthcare Provider's Profile

Full Name	Ian Radford Anderson
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	2038 Lake Tahoe Blvd, South Lake Tahoe, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ian Radford Anderson graduated from medical school in 2017

NPI Data:

NPI Number: 1447769997
Provider Enumeration Date: 09/28/2017
Last Update Date: 01/20/2021

Medicare PECOS Information:

PECOS PAC ID: 3577829894
Enrollment ID: I20181109002361

Medical Identifiers

Medical identifiers for Ian Radford Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447769997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8708 (South Carolina)	Secondary
225100000X	Physical Therapist	295037 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pt Revolution Physical Therapy Pc	5092174987	6

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. Ian Radford Anderson allows following entities to bill medicare on his behalf.

Provider Name	Pt Revolution Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1467179663 PECOS PAC ID: 5092174987 Enrollment ID: O20230711000737

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. Ian Radford 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
Ian Radford Anderson, DPT 2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 Ph: (530) 208-9910	Ian Radford Anderson, DPT 2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 Ph: (530) 208-9910

Reviews and Comments

Physical Therapist in South Lake Tahoe, CA

Michelle Appelle, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Michael Neiger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Rene Hoogendijk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-542-3000 Fax: 530-544-6512
Nancy Bru, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Joseph H Dengler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Michael John Lyons, MPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Christine Ann Kozlowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512

Ian Radford Anderson, DPT - Medicare Physical Therapist in South Lake Tahoe, CA