Kiesha Anderson, DO in Mishawaka, IN

Kiesha Anderson, DO is a medicare enrolled "Psychiatry & Neurology - Clinical Neurophysiology" physician in Mishawaka, Indiana. She went to Edward Via Col Of Osteo Medicine-carolinas Campus and graduated in 2016 and has 10 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 5314 Lincolnway E, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-8542.

Kiesha Anderson is licensed to practice in Indiana (license number 02006115A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720439680.

Contact Information

	Kiesha Anderson, DO
	5314 Lincolnway E, Mishawaka, IN 46544-4249
	(574) 647-8542
	Not Available

Map and Direction

Physician's Profile

Full Name	Kiesha Anderson
Gender	Female
Speciality	Neurology
Experience	10 Years
Location	5314 Lincolnway E, Mishawaka, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kiesha Anderson attended and graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2016

NPI Data:

NPI Number: 1720439680
Provider Enumeration Date: 06/22/2016
Last Update Date: 05/18/2026

Medicare PECOS Information:

PECOS PAC ID: 9133412422
Enrollment ID: I20210802001164

Medical Identifiers

Medical identifiers for Kiesha Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720439680	NPI	-	NPPES
201374980	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	02006115A (Indiana)	Secondary
2084N0600X	Psychiatry & Neurology - Clinical Neurophysiology	02006115A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital
Elkhart General Hospital	Elkhart, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	580

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. Kiesha Anderson allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Kiesha 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
Kiesha Anderson, DO 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-3725	Kiesha Anderson, DO 5314 Lincolnway E, Mishawaka, IN 46544-4249 Ph: (574) 647-8542

Reviews and Comments

Psychiatry & Neurology Doctors in Mishawaka, IN

Brian K Esch, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3625 Park Pl W Ste 150, Mishawaka, IN 46545 Phone: 574-282-1060
Dr. Benjamin Louis Troy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 230 East Day Road, Suite 160, Mishawaka, IN 46545 Phone: 574-271-8222 Fax: 574-271-8896
Dr. Francisco Javier Gomez-dossi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643
Randall J Bjork, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643
Edduyn A Figueroa, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 425 Park Place Cir Ste 150, Mishawaka, IN 46545 Phone: 574-273-2440 Fax: 574-273-2477
Dr. Mark A Muckway, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 305, Mishawaka, IN 46545 Phone: 574-335-6450 Fax: 574-335-0643
Dr. Jose Luis Lopez Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5314 Lincolnway E, Mishawaka, IN 46544 Phone: 574-647-8542 Fax: 574-647-8549

Kiesha Anderson, DO - Medicare Neurology in Mishawaka, IN