Leslie Ann Anderson, PT is a medicare enrolled "Physician Assistant" provider in Superior, Wisconsin. Her current practice location is
3500 Tower Ave, Superior, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 817-7100.
Leslie Ann Anderson is licensed to practice in Wisconsin (license number 4475) 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 1578686622.
Healthcare Provider's Profile
Full Name | Leslie Ann Anderson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3500 Tower Ave, Superior, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578686622
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 08/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 6507963543
- Enrollment ID: I20180830001408
Medical Identifiers
Medical identifiers for Leslie Ann Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578686622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070.011396 (Illinois) | Secondary |
363A00000X | Physician Assistant | 4475 (Wisconsin) | 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. Leslie Ann 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 |
Leslie Ann Anderson, PT 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Leslie Ann Anderson, PT 3500 Tower Ave, Superior, WI 54880 Ph: (715) 817-7100 |
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