Dr Bradley W Anderson, MD is a medicare enrolled "Urology" physician in South Lake Tahoe, California. He went to University Of Oklahoma College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Urology. He is a member of the group practice Monument Health Rapid City Hospital, Inc. and his current practice location is
2169 South Ave, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at
(530) 543-5400.
Dr Bradley W Anderson is licensed to practice in California (license number C127871) 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 1053403105.
Physician's Profile
| Full Name | Dr Bradley W Anderson |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 34 Years |
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| Location | 2169 South Ave, South Lake Tahoe, California |
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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 Bradley W Anderson attended and graduated from University Of Oklahoma College Of Medicine in 1990
NPI Data:
- NPI Number: 1053403105
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 07/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 5092772376
- Enrollment ID: I20190327002135
Medical Identifiers
Medical identifiers for Dr Bradley W Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053403105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | C127871 (California) | Primary |
| 208800000X | Urology | 15032 (Nevada) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Monument Health Rapid City Hospital, Inc. | 6002729506 | 424 |
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 Bradley W Anderson allows following entities to bill medicare on his behalf.
| Entity Name | Monument Health Rapid City Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275553463
PECOS PAC ID: 6002729506
Enrollment ID: O20070625000144 |
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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 Bradley W 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 |
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Dr Bradley W Anderson, MD
1111 Emerald Bay Rd,
South Lake Tahoe, CA 96150-6207
Ph: (530) 543-5659 | Dr Bradley W Anderson, MD
2169 South Ave,
South Lake Tahoe, CA 96150-7059
Ph: (530) 543-5400 |
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