| Dr Jon E Anderson, MD | |
|
801 E Dixie Ave, Suite 104, Leesburg, FL 34748-7600 | |
| (352) 365-2583 | |
| (352) 728-6749 |
| Full Name | Dr Jon E Anderson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 801 E Dixie Ave, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285682377 | NPI | - | NPPES |
| 300116800 | Other | FL | RR MEDICARE RACF |
| 260572400 | Medicaid | FL | |
| 300116799 | Other | FL | RR MDCR LMIV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RM1200X | Internal Medicine - Magnetic Resonance Imaging (mri) | ME75253 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME75253 (Florida) | Primary |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
| Entity Name | West Valley Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265486427 PECOS PAC ID: 1658266622 Enrollment ID: O20040308001429 |
| Entity Name | I V Radiology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296880 PECOS PAC ID: 7517952310 Enrollment ID: O20040420000493 |
| Entity Name | Central Valley Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275523169 PECOS PAC ID: 8628064953 Enrollment ID: O20040422000783 |
| Entity Name | San Antonio Radiological Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457396947 PECOS PAC ID: 8325035942 Enrollment ID: O20040427000649 |
| Entity Name | Modesto Radiological Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453 |
| Entity Name | Fullerton Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861451858 PECOS PAC ID: 4587632575 Enrollment ID: O20040917000672 |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Entity Name | San Joaquin Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538157508 PECOS PAC ID: 1557390580 Enrollment ID: O20050810000537 |
| Entity Name | San Joaquin Faculty Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
| Entity Name | Los Alamitos Radiology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005024 PECOS PAC ID: 5092718882 Enrollment ID: O20060816000607 |
| Entity Name | Mountain Communities Healthcare District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750462271 PECOS PAC ID: 9133227135 Enrollment ID: O20070613000851 |
| Entity Name | Placerville Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700847621 PECOS PAC ID: 0143382374 Enrollment ID: O20090114000165 |
| Entity Name | Focus Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20100202000905 |
| Entity Name | Mountain Communities Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407027568 PECOS PAC ID: 9133227135 Enrollment ID: O20160208000679 |
| Entity Name | Adventist Health Medical Center Tehachapi |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275538530 PECOS PAC ID: 1456646629 Enrollment ID: O20170124000729 |
| Entity Name | Universal Radiology Partners Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467225235 PECOS PAC ID: 7214372986 Enrollment ID: O20240304003247 |
| Entity Name | Radx Imaging Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366146755 PECOS PAC ID: 5698113041 Enrollment ID: O20240403003455 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jon E Anderson, MD 734 N 3rd St, Suite 115, Leesburg, FL 34748-5285 Ph: (352) 365-2583 | Dr Jon E Anderson, MD 801 E Dixie Ave, Suite 104, Leesburg, FL 34748-7600 Ph: (352) 365-2583 |
Brittany Kristen Nagy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave Ste 104, Leesburg, FL 34748 Phone: 352-787-5858 Fax: 352-728-6749 | |
Dr. Keith Kastelic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Ste 104, Leesburg, FL 34748 Phone: 352-365-2583 Fax: 352-728-6749 | |
Dr. Michael S Levine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Suite 104, Leesburg, FL 34748 Phone: 352-365-2583 Fax: 352-728-6749 | |
Michael P O'neill, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 212 N 2nd St, Leesburg, FL 34748 Phone: 352-435-0723 | |
Dr. Amir Ali Hameedi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Suite 104, Leesburg, FL 34748 Phone: 352-365-2583 | |
Dr. Cathrine Elena Keller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Suite 104, Leesburg, FL 34748 Phone: 352-365-2583 Fax: 352-728-6749 | |
Dr. Manoj Bhatia, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Suite 104, Leesburg, FL 34748 Phone: 352-365-2583 Fax: 352-728-6749 |