Jerry Anderson, PHD is a medicare enrolled "Psychologist" provider in Giddings, Texas. His current practice location is
1067 Pr 2262, Giddings, Texas. You can reach out to his office (for appointments etc.) via phone at
(979) 542-4572.
Jerry Anderson is licensed to practice in Texas (license number 11342) 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 1790164234.
Healthcare Provider's Profile
Full Name | Jerry Anderson |
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Gender | Male |
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Speciality | Psychologist |
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Location | 1067 Pr 2262, Giddings, Texas |
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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: 1790164234
- Provider Enumeration Date: 05/28/2015
- Last Update Date: 05/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 1850608001
- Enrollment ID: I20150921001140
Medical Identifiers
Medical identifiers for Jerry Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790164234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 11342 (Texas) | 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. Jerry Anderson allows following entities to bill medicare on his behalf.
Entity Name | Deer Oaks Geriatric Services P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440 |
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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. Jerry 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 |
Jerry Anderson, PHD Po Box 600, Giddings, TX 78942-0600 Ph: (979) 542-4572 | Jerry Anderson, PHD 1067 Pr 2262, Giddings, TX 78942-6171 Ph: (979) 542-4572 |
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