Vickie M Anderson, PT is a medicare enrolled "Physical Therapist" provider in Fosston, Minnesota. Her current practice location is
103 W 1st St, Fosston, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 435-1210.
Vickie M Anderson is licensed to practice in Minnesota (license number 4419) 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 1164984647.
Healthcare Provider's Profile
Full Name | Vickie M Anderson |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 103 W 1st St, Fosston, Minnesota |
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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: 1164984647
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991154577
- Enrollment ID: I20240112003966
Medical Identifiers
Medical identifiers for Vickie M Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164984647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 4419 (Minnesota) | 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. Vickie M Anderson allows following entities to bill medicare on her behalf.
Provider Name | Pine Peak Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1982477030 PECOS PAC ID: 8820447493 Enrollment ID: O20231207001962 |
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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. Vickie M 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 |
Vickie M Anderson, PT Po Box 300, Fosston, MN 56542-0300 Ph: (218) 435-1210 | Vickie M Anderson, PT 103 W 1st St, Fosston, MN 56542 Ph: (218) 435-1210 |
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