Dr Sid Anderson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Elmwood Park, Illinois. His current practice location is
2408 Westbrook Drive, Elmwood Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 453-5591.
Dr Sid Anderson is licensed to practice in Illinois (license number 071-005157) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972621050.
Healthcare Provider's Profile
Full Name | Dr Sid Anderson |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2408 Westbrook Drive, Elmwood Park, Illinois |
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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: 1972621050
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 11/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 5092126581
- Enrollment ID: I20201207000454
Medical Identifiers
Medical identifiers for Dr Sid Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972621050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071-005157 (Illinois) | 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. Dr Sid 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 |
Dr Sid Anderson, PHD 2408 N West Brook Rd, Elmwood Park, IL 60707-2425 Ph: (708) 453-5591 | Dr Sid Anderson, PHD 2408 Westbrook Drive, Elmwood Park, IL 60707 Ph: (708) 453-5591 |
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