Connie M Anderson, PA-C is a medicare enrolled "Physician Assistant" physician in Grand Rapids, Michigan. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Jack A Dekkinga Md Pc and her current practice location is
750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 942-9343.
Connie M Anderson is licensed to practice in Michigan (license number 5601002814) 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 1124012919.
Physician's Profile
Full Name | Connie M Anderson |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Experience | 27 Years |
---|
Location | 750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Connie M Anderson graduated from medical school in 1997
NPI Data:
- NPI Number: 1124012919
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486609039
- Enrollment ID: I20050316000420
Medical Identifiers
Medical identifiers for Connie M Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124012919 | NPI | - | NPPES |
1941713 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 5601002814 (Michigan) | Secondary |
363A00000X | Physician Assistant | 5601002814 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Jack A Dekkinga Md Pc | 3375538432 | 18 |
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. Connie M 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 |
Connie M Anderson, PA-C 750 E Beltline Ave Ne Ste 301, Grand Rapids, MI 49525-6046 Ph: (616) 942-9343 | Connie M Anderson, PA-C 750 E Beltline Ave Ne Ste 301, Grand Rapids, MI 49525-6046 Ph: (616) 942-9343 |
Reviews and Comments