| Dr Dana P Anderson, MD | |
|
1 School St, Suite 107, Gowanda, NY 14070-1133 | |
| (716) 241-7067 | |
| (833) 464-5024 |
| Full Name | Dr Dana P Anderson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1 School St, Gowanda, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629069349 | NPI | - | NPPES |
| 01028468 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 167740 (New York) | Primary |
| Entity Name | Tlc Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487738886 PECOS PAC ID: 9335059757 Enrollment ID: O20031103000403 |
| Entity Name | Tri-county Family Medicine Asso Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730268541 PECOS PAC ID: 6901852953 Enrollment ID: O20050323000801 |
| Entity Name | The Chautauqua Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760747521 PECOS PAC ID: 7214178326 Enrollment ID: O20130805000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dana P Anderson, MD 1 School St, Suite 107, Gowanda, NY 14070-1133 Ph: (716) 241-7067 | Dr Dana P Anderson, MD 1 School St, Suite 107, Gowanda, NY 14070-1133 Ph: (716) 241-7067 |
Dr. James E Wild, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 School St, Suite 107, Gowanda, NY 14070 Phone: 716-241-7067 Fax: 833-464-5024 |