| Jerrod Anderson, | |
|
3866 Belfast Keller Rd Ste 102, Richmond Hill, GA 31324-6865 | |
| (912) 819-9620 | |
| (912) 819-9621 |
| Full Name | Jerrod Anderson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 3866 Belfast Keller Rd Ste 102, Richmond Hill, Georgia |
| 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 |
|---|---|---|---|
| 1013302587 | NPI | - | NPPES |
| 218941001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-10151 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Savannah, GA | Home health agency |
| St Joseph's Hospital - Savannah | Savannah, GA | Hospital |
| White River Medical Center | Batesville, AR | Hospital |
| Candler Hospital | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White River Health System, Inc. | 0143134270 | 164 |
| Sjc Medical Group Inc | 7719978105 | 49 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710952650 PECOS PAC ID: 0143134270 Enrollment ID: O20031206000064 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871609743 PECOS PAC ID: 0143134270 Enrollment ID: O20070223000663 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851470371 PECOS PAC ID: 0143134270 Enrollment ID: O20070228000020 |
| Entity Name | St Bernard Community Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1962410183 PECOS PAC ID: 7810897485 Enrollment ID: O20071010000024 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477523348 PECOS PAC ID: 0143134270 Enrollment ID: O20110510000339 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962482430 PECOS PAC ID: 0143134270 Enrollment ID: O20110614000786 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992079651 PECOS PAC ID: 0143134270 Enrollment ID: O20120326000612 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013451186 PECOS PAC ID: 0143134270 Enrollment ID: O20170125002953 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154770436 PECOS PAC ID: 0143134270 Enrollment ID: O20170216001323 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144742768 PECOS PAC ID: 0143134270 Enrollment ID: O20170922001273 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrod Anderson, 16 Hospital Cir Ste A, Batesville, AR 72501-7343 Ph: (870) 262-5545 | Jerrod Anderson, 3866 Belfast Keller Rd Ste 102, Richmond Hill, GA 31324-6865 Ph: (912) 819-9620 |
Daniel Aaron Brody, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3776 Us Highway 17, Richmond Hill, GA 31324 Phone: 912-350-7020 | |
Dr. Russell William Lake, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10055 Ford Avenue, Suite 3a, Richmond Hill, GA 31324 Phone: 912-819-9601 Fax: 912-819-9605 | |
Dr. Grant Allan Foster, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 58 Grace Ct, Richmond Hill, GA 31324 Phone: 912-727-3393 | |
Dr. Deronda Felicia Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1604 River Oaks Dr, Richmond Hill, GA 31324 Phone: 912-445-5183 Fax: 912-445-5183 | |
Rebecca Marshburn Sellers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 89 Interchange Dr, Richmond Hill, GA 31324 Phone: 912-527-5301 Fax: 912-756-4740 | |
Catherine Elizabeth Waldron, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 89 Interchange Dr, Richmond Hill, GA 31324 Phone: 912-527-5301 Fax: 912-756-4740 |