Dr Nicolas S Anderson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Riverside, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Midland Orthopedic Associates Pllc and his current practice location is
353 E Burlington St, Suite 100, Riverside, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 442-0221.
Dr Nicolas S Anderson is licensed to practice in Illinois (license number 016-005287) 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 1124179817.
Healthcare Provider's Profile
| Full Name | Dr Nicolas S Anderson |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 19 Years |
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| Location | 353 E Burlington St, Riverside, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicolas S Anderson graduated from medical school in 2005
NPI Data:
- NPI Number: 1124179817
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 06/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 8729155460
- Enrollment ID: I20080923000418
Medical Identifiers
Medical identifiers for Dr Nicolas S Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124179817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016-005287 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midland Orthopedic Associates Pllc | 3971562430 | 17 |
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. Dr Nicolas S Anderson allows following entities to bill medicare on his behalf.
| Provider Name | Midland Orthopedic Associates Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1104863638
PECOS PAC ID: 3971562430
Enrollment ID: O20041008001051 |
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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. Dr Nicolas S 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 |
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Dr Nicolas S Anderson, DPM
353 E Burlington Street, Suite 100,
Riverside, IL 60546
Ph: (708) 442-0221 | Dr Nicolas S Anderson, DPM
353 E Burlington St, Suite 100,
Riverside, IL 60546-2189
Ph: (708) 442-0221 |
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