| Kathy Ann Anderson, MD | |
| 2240 Gateway Dr, Sycamore, IL 60178 | |
| (815) 756-8571 | |
| (815) 756-1790 | 
| Full Name | Kathy Ann Anderson | 
|---|---|
| Gender | Female | 
| Speciality | Ophthalmology | 
| Location | 2240 Gateway Dr, Sycamore, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124088455 | NPI | - | NPPES | 
| 036071921 | Medicaid | IL | |
| L71596 | Other | IL | MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207W00000X | Ophthalmology | 036071921 (Illinois) | Primary | 
| Entity Name | Premier Eye Care & Surgery Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306905005 PECOS PAC ID: 6305826520 Enrollment ID: O20040720001128 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kathy Ann Anderson, MD 2240 Gateway Dr, Sycamore, IL 60178 Ph: (815) 756-8571 | Kathy Ann Anderson, MD 2240 Gateway Dr, Sycamore, IL 60178 Ph: (815) 756-8571 | 
| Dr. Raneem Rajjoub,  Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1630 Gateway Dr Ste 300, Sycamore, IL 60178 Phone: 800-243-2587 | |
| Thomas Wayne Tilton, DO Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2240 Gateway Dr, Sycamore, IL 60178 Phone: 815-756-8571 Fax: 815-756-1790 | |
| Dr. Matthew Charles Johnson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2240 Gateway Dr, Sycamore, IL 60178 Phone: 815-756-7136 |