Ellen M Anderson, DPM is a medicare enrolled "Podiatrist" provider in Dover Foxcroft, Maine. Her current practice location is
839 W Main St, Dover Foxcroft, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 564-2536.
Ellen M Anderson is licensed to practice in Maine (license number POD155) 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 1104928464.
Healthcare Provider's Profile
| Full Name | Ellen M Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Podiatrist |
|---|
| Location | 839 W Main St, Dover Foxcroft, Maine |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1104928464
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 02/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 7911938972
- Enrollment ID: I20050830000151
Medical Identifiers
Medical identifiers for Ellen M Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104928464 | NPI | - | NPPES |
| 112960000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | POD155 (Maine) | 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. Ellen M Anderson allows following entities to bill medicare on her behalf.
| Provider Name | Sebasticook Family Doctors |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1063464634
PECOS PAC ID: 8224924576
Enrollment ID: O20040527000160 |
|---|
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. Ellen 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 |
|---|
Ellen M Anderson, DPM
Po Box 327,
Dover-foxcroft, ME 04426-0327
Ph: (207) 564-2536 | Ellen M Anderson, DPM
839 W Main St,
Dover Foxcroft, ME 04426-1334
Ph: (207) 564-2536 |
Reviews and Comments