Dr Benjamin Michael Anderson, PSYD | |
1400 Grand Avenue, Newport, KY 41071 | |
(859) 301-5901 | |
(859) 301-5940 |
Full Name | Dr Benjamin Michael Anderson |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 19 Years |
Location | 1400 Grand Avenue, Newport, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730306754 | NPI | - | NPPES |
K237430 | Other | KY | KY MEDICARE |
7100501510 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 71007260 (Illinois) | Secondary |
103T00000X | Psychologist | 128177 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Michael Anderson, PSYD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-5901 | Dr Benjamin Michael Anderson, PSYD 1400 Grand Avenue, Newport, KY 41071 Ph: (859) 301-5901 |
Mary Hall Lieneck, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 | |
Tara Luchkiw, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 | |
Tobias C Weiss, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 718 Columbia St, Newport, KY 41071 Phone: 859-491-6510 Fax: 859-491-6589 |