| Jonathan Hal Anderson, MD, FACS | |
|
770 Medical Park Dr, Aiken, SC 29801-6307 | |
| (803) 649-3903 | |
| (803) 642-6161 |
| Full Name | Jonathan Hal Anderson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 34 Years |
| Location | 770 Medical Park Dr, Aiken, South Carolina |
| 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 |
|---|---|---|---|
| 1346226958 | NPI | - | NPPES |
| 199332 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 19933 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| University Hospital | Augusta, GA | Hospital |
| Edgefield County Healthcare An Affiliate Of Self R | Edgefield, SC | Hospital |
| Allendale County Hospital | Fairfax, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aiken Professional Association Llc | 0446430805 | 48 |
| Entity Name | Aiken Professional Association Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639479801 PECOS PAC ID: 0446430805 Enrollment ID: O20110202000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Hal Anderson, MD, FACS 367 S. Gulph Rd, Attn: Ipm Credentialing, King Of Prussia, PA 19406 Ph: (803) 716-8712 | Jonathan Hal Anderson, MD, FACS 770 Medical Park Dr, Aiken, SC 29801-6307 Ph: (803) 649-3903 |
Dr. Richard Paul Von Buedingen, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 191 Centre South Blvd, #20, Aiken, SC 29803 Phone: 803-648-7815 Fax: 803-648-8028 | |
Dr. Darren Joseph Mack, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 770 Medical Park Dr, Aiken, SC 29801 Phone: 803-716-8712 Fax: 803-716-8713 |