| Dr John Roger Anderson, DO | |
|
8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 | |
| (208) 664-4455 | |
| (208) 664-4159 |
| Full Name | Dr John Roger Anderson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 53 Years |
| Location | 8611 W Eagle Ridge Rd, Coeur D Alene, Idaho |
| 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 |
|---|---|---|---|
| 1366490773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0102204169 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | O-0349 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
| Enloe Medical Center | Chico, CA | Hospital |
| Oroville Hospital | Oroville, CA | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Queen Of The Valley Medical Center | Napa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| Oroville Hospital | 1254234339 | 86 |
| Abercrombie Radiological Consultants Inc | 3072411834 | 53 |
| Columbus Radiology Physicians Llc | 3971863416 | 60 |
| Centra Medical Group Llc | 4789606088 | 681 |
| Jason L Hwang Md Inc | 6103171012 | 46 |
| Focus Medical Imaging | 6406999259 | 119 |
| Radiology Medical Group Of Napa | 7113906397 | 32 |
| Tennessee Valley Radiology Llc | 9133105521 | 38 |
| Enloe Medical Center | 9739092388 | 325 |
| Intercity Radiology Pc | 9830003847 | 41 |
| Carilion Medical Center | 9830096585 | 914 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20120710000532 |
| Entity Name | Direct Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20140226000947 |
| Entity Name | Oroville Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20160411000609 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20180925003373 |
| Entity Name | Jason L Hwang Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811486616 PECOS PAC ID: 6103171012 Enrollment ID: O20181130002547 |
| Entity Name | Simi Radiology And Imaging Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132275 PECOS PAC ID: 6507845369 Enrollment ID: O20181210003272 |
| Entity Name | Intercity Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390736 PECOS PAC ID: 9830003847 Enrollment ID: O20190117002154 |
| Entity Name | Radiology Consultants Of Lynchburg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922037043 PECOS PAC ID: 8022077205 Enrollment ID: O20190711002814 |
| Entity Name | Columbus Radiology Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467964718 PECOS PAC ID: 3971863416 Enrollment ID: O20190819001670 |
| Entity Name | Cumberland Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20200115000805 |
| Entity Name | Tennessee Valley Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20200414000153 |
| Entity Name | Medford Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20201015001208 |
| Entity Name | Benefis Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20211007001729 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20230911000817 |
| Entity Name | Focus Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20240213000331 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20240226000354 |
| Entity Name | Cmsc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20240228003518 |
| Entity Name | Eastern Radiological Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639102171 PECOS PAC ID: 0345232732 Enrollment ID: O20240305003574 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20240401001901 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20240416001844 |
| Entity Name | Carilion Tazewell Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427040328 PECOS PAC ID: 4183604259 Enrollment ID: O20240416004363 |
| Entity Name | Abercrombie Radiological Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942207154 PECOS PAC ID: 3072411834 Enrollment ID: O20240827004612 |
| Entity Name | Scott County Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1124536990 PECOS PAC ID: 3375829112 Enrollment ID: O20241009002739 |
| Entity Name | Winchester Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123977 PECOS PAC ID: 7113915281 Enrollment ID: O20241203002151 |
| Entity Name | Winchester Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123977 PECOS PAC ID: 7113915281 Enrollment ID: O20241203004291 |
| Entity Name | Radiology Medical Group Of Napa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285666313 PECOS PAC ID: 7113906397 Enrollment ID: O20250327001483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Roger Anderson, DO 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 Ph: (208) 664-4455 | Dr John Roger Anderson, DO 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 Ph: (208) 664-4455 |
Dr. Brian Joseph Mcnamee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-6300 Fax: 208-625-6301 | |
Dr. Michael Gerardo Melendez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815 Phone: 208-610-0041 Fax: 208-777-1313 | |
Lauren Gayle Deur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814 Phone: 208-292-2263 Fax: 208-292-3130 | |
Dr. George F. Knight, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 Phone: 208-415-0524 Fax: 208-763-3644 | |
Jeffrey Wayne Grossman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815 Phone: 208-570-3342 | |
Dr. Patricia Ines Ojeda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-6300 Fax: 208-625-6301 | |
Dr. Bryan Douglas Berkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-3000 Fax: 208-625-6301 |