Tait Anderson, is a medicare enrolled "Speech-language Pathologist" provider in Savage, Minnesota. His current practice location is
8758 Egan Dr, Savage, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 443-9888.
Tait Anderson is licensed to practice in Minnesota (license number 9497) 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 1104370683.
Healthcare Provider's Profile
| Full Name | Tait Anderson |
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| Gender | Male |
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| Speciality | Speech-language Pathologist |
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| Location | 8758 Egan Dr, Savage, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104370683
- Provider Enumeration Date: 08/12/2016
- Last Update Date: 08/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 7618263609
- Enrollment ID: I20160830002348
Medical Identifiers
Medical identifiers for Tait Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104370683 | NPI | - | NPPES |
| 001442700 | Medicaid | MN | |
| 16154051 | Other | MN | PT CARE |
| 565581028804 | Other | MN | PREFERRED ONE |
| 017J6KI | Other | MN | BCBS |
| 1311578 | Other | MN | ARAZ/AMERICA'S PPO/CIGNA |
| 169036 | Other | MN | UCARE |
| 76842 | Other | MN | HEALTH PARTNERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 9497 (Minnesota) | 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. Tait Anderson allows following entities to bill medicare on his behalf.
| Provider Name | Kid Talk Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245315027
PECOS PAC ID: 7315190147
Enrollment ID: O20130103000370 |
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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. Tait 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 |
|---|
Tait Anderson,
1772 Steiger Lake Ln,
Victoria, MN 55386-7723
Ph: (952) 443-9888 | Tait Anderson,
8758 Egan Dr,
Savage, MN 55378-2561
Ph: (952) 443-9888 |
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