Dr Kelly Jarom Anderson, MD in Idaho Falls, ID

Dr Kelly Jarom Anderson, MD is a medicare enrolled "Pediatrics" physician in Idaho Falls, Idaho. His current practice location is 3430 Washington Pkwy, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 523-3060.

Dr Kelly Jarom Anderson is licensed to practice in Idaho (license number M10579) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194935049.

Contact Information

	Dr Kelly Jarom Anderson, MD
	3430 Washington Pkwy, Idaho Falls, ID 83404-7579
	(208) 523-3060
	(208) 523-0028

Map and Direction

Physician's Profile

Full Name	Dr Kelly Jarom Anderson
Gender	Male
Speciality	Pediatrics
Location	3430 Washington Pkwy, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194935049
Provider Enumeration Date: 05/22/2007
Last Update Date: 09/10/2009

Medicare PECOS Information:

PECOS PAC ID: 7214197987
Enrollment ID: I20120404000776

Medical Identifiers

Medical identifiers for Dr Kelly Jarom Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194935049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M10579 (Idaho)	Primary

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 Kelly Jarom Anderson allows following entities to bill medicare on his behalf.

Entity Name	Medical Center For Children & Adolescents, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073528998 PECOS PAC ID: 5496915159 Enrollment ID: O20120404000658

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 Kelly Jarom 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
Dr Kelly Jarom Anderson, MD 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 Ph: (208) 523-3060	Dr Kelly Jarom Anderson, MD 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 Ph: (208) 523-3060

Reviews and Comments

Pediatrics Doctors in Idaho Falls, ID

Shannon Jenkins, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 100, Idaho Falls, ID 83404 Phone: 208-535-4575 Fax: 208-535-4569
Eric Peter Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Parkway, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028
Dr. Jeffrey John Aughney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060
Brad Reid Edwards, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028
Dr. Nephi Andersen Redd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3320 S 25th E, Idaho Falls, ID 83404 Phone: 208-656-1500
Dr. Joshua Michael Smith, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3910 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582
Dr. Steven Blake Colson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-528-1039 Fax: 208-528-1939

Dr Kelly Jarom Anderson, MD - Medicare Pediatrics in Idaho Falls, ID