| Dr Mark Ian Anderson, MD | |
|
450 S Kitsap Blvd Ste 210, Port Orchard, WA 98366-3738 | |
| (360) 895-8950 | |
| (360) 895-8980 |
| Full Name | Dr Mark Ian Anderson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 26 Years |
| Location | 450 S Kitsap Blvd Ste 210, Port Orchard, Washington |
| 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 |
|---|---|---|---|
| 1215900303 | NPI | - | NPPES |
| 2011203 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01053155A (Indiana) | Secondary |
| 208800000X | Urology | MD60194935 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 1815 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Ian Anderson, MD 450 S Kitsap Blvd Ste 210, Port Orchard, WA 98366-3738 Ph: (360) 895-8950 | Dr Mark Ian Anderson, MD 450 S Kitsap Blvd Ste 210, Port Orchard, WA 98366-3738 Ph: (360) 895-8950 |
Dr. John C Hedges, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 451 Sedgwick Sw, Ste 220, Port Orchard, WA 98367 Phone: 360-874-7300 Fax: 360-874-7319 | |
Dr. Scott A Bildsten, DO Urology Medicare: Not Enrolled in Medicare Practice Location: 451 Sw Sedgwick Rd Ste 220, Port Orchard, WA 98367 Phone: 360-874-7300 Fax: 360-874-7319 |