| Dr Bryan G Anderson, DO | |
|
510 Lincoln Drive, Herrin, IL 62948 | |
| (618) 997-6800 | |
| (618) 997-1187 |
| Full Name | Dr Bryan G Anderson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 12 Years |
| Location | 510 Lincoln Drive, Herrin, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760820989 | NPI | - | NPPES |
| 2254675 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | OP61396249 (Washington) | Secondary |
| 207X00000X | Orthopaedic Surgery | 361168134 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Orthopedic Associates Sc | 8921095514 | 25 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Southern Orthopedic Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396792412 PECOS PAC ID: 8921095514 Enrollment ID: O20040427000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan G Anderson, DO 510 Lincoln Drive, Herrin, IL 62948 Ph: (618) 997-6800 | Dr Bryan G Anderson, DO 510 Lincoln Drive, Herrin, IL 62948 Ph: (618) 997-6800 |
Dr. James Michael Davis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. John B Wood, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. Robert J Golz, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 Lincoln Ave, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. Steven D Young, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. Thomas West Davis, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Mr. Jeremy Dale Palmer, PAC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6810 Fax: 618-998-9124 | |
Donald David Davis Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 |