Donovan John Anderson, MD is a
Family Medicine physician based in Mohave Valley, Arizona. Donovan John Anderson is licensed to practice in Arizona (license number 13491) and his current practice location is 8700 Highway 95, Mohave Valley, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 768-7113.
NPI number for Donovan John Anderson is 1356333058 and his current mailing address is 8700 Highway 95, Mohave Valley, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356333058.
Physician's Profile
| Full Name | Donovan John Anderson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 8700 Highway 95, Mohave Valley, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356333058
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Donovan John Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356333058 | NPI | - | NPPES |
| XPY055881 | Medicaid | CA | |
| 205288-01 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 13491 (Arizona) | 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. Donovan John Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Donovan John Anderson, MD
8700 Highway 95,
Mohave Valley, AZ 86440-8519
Ph: (928) 768-7113 | Donovan John Anderson, MD
8700 Highway 95,
Mohave Valley, AZ 86440-8519
Ph: (928) 768-7113 |
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