Stephanie Demetric Anderson, MD - Medicare Family Practice in Jackson, TN

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Stephanie Demetric Anderson, MD is a medicare enrolled "Family Medicine" physician in Jackson, Tennessee. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southeastern Emergency Physicians Llc and her current practice location is 294 Summar Dr, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 423-1932.

Stephanie Demetric Anderson is licensed to practice in Kentucky (license number 46418) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891084935.

Contact Information

Stephanie Demetric Anderson, MD
294 Summar Dr,
Jackson, TN 38301-3915
(731) 423-1932
(731) 410-0367

Map and Direction




Physician's Profile

Full NameStephanie Demetric Anderson
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location294 Summar Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie Demetric Anderson graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1891084935
  • Provider Enumeration Date: 03/29/2011
  • Last Update Date: 06/27/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4587802079
  • Enrollment ID: I20140927000385

Medical Identifiers

Medical identifiers for Stephanie Demetric Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891084935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 46418 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospice Of West TennesseeJackson, TNHospice
Saint Francis Bartlett Medical CenterBartlett, TNHospital
Jackson-madison County General HospitalJackson, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997491

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. Stephanie Demetric Anderson allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Tennessee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780686436
PECOS PAC ID: 3072421213
Enrollment ID: O20031119000671
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameEmergency Medical Care Facilities Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538345855
PECOS PAC ID: 6103837877
Enrollment ID: O20060509000565
Entity NameCreative Healthcare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205072303
PECOS PAC ID: 4880741206
Enrollment ID: O20090421000703
Entity NameWest Tennessee Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053615955
PECOS PAC ID: 3971781006
Enrollment ID: O20110621000009

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. Stephanie Demetric 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 AddressPractice Location Address
Stephanie Demetric Anderson, MD
294 Summar Dr,
Jackson, TN 38301-3915

Ph: (731) 423-1932		Stephanie Demetric Anderson, MD
294 Summar Dr,
Jackson, TN 38301-3915

Ph: (731) 423-1932

Reviews and Comments


Family Medicine Doctors in Jackson, TN

Parker Panovec, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2859 Highway 45 Byp, Jackson, TN 38305
Phone: 731-660-8360    Fax: 731-664-7928
Michael James Martin, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-410-0367
Melissa A Robbins, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 294 Summar Drive, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-423-4919
Dr. Ezekiel Oladejo Adetunji, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 Murray Guard Dr, Jackson, TN 38305
Phone: 731-300-3168    Fax: 731-300-3169
Kenneth R. Warren, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305
Phone: 731-664-0103    Fax: 731-664-5666
Anna Elizabeth Glass Burgess, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-664-1375    Fax: 731-664-1378
Christopher Reyes Caangay, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-541-3755    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.