Dr Alan J Anthony, MD is a medicare enrolled "Dermatology" physician in Logansport, Indiana. He went to Northeastern Ohio University College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Memorial Hospital and his current practice location is
1025 Michigan Ave, Ste 215, Logansport, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 753-2222.
Dr Alan J Anthony is licensed to practice in Indiana (license number 01054521A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114003415.
Physician's Profile
| Full Name | Dr Alan J Anthony |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 24 Years |
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| Location | 1025 Michigan Ave, Logansport, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alan J Anthony attended and graduated from Northeastern Ohio University College Of Medicine in 2000
NPI Data:
- NPI Number: 1114003415
- Provider Enumeration Date: 10/29/2006
- Last Update Date: 12/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 5698857753
- Enrollment ID: I20080128000701
Medical Identifiers
Medical identifiers for Dr Alan J Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114003415 | NPI | - | NPPES |
| 200280770 | Medicaid | IN | |
| 000000970192 | Other | IN | ANTHEM |
| P01578225 | Other | IN | RAILROAD MEDICARE |
| 002003058 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 15007 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | 15007 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | 01054521A (Indiana) | Secondary |
| 207N00000X | Dermatology | 01054521A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Memorial Hospital | 8123923281 | 73 |
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. Dr Alan J Anthony allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942317656
PECOS PAC ID: 8123923281
Enrollment ID: O20031206000001 |
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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. Dr Alan J Anthony 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 |
|---|
Dr Alan J Anthony, MD
1025 Michigan Ave, Ste 215,
Logansport, IN 46947-1593
Ph: (574) 753-2222 | Dr Alan J Anthony, MD
1025 Michigan Ave, Ste 215,
Logansport, IN 46947-1593
Ph: (574) 753-2222 |
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