| Matthew Joseph Anderson, | |
| 
					6 13th Ave E, Polson, MT 59860-5315  | |
| (406) 883-5680 | |
| (406) 883-8910 | 
| Full Name | Matthew Joseph Anderson | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | 6 13th Ave E, Polson, Montana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033641550 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MED-PHYS-LIC-117887 (Montana) | Primary | 
| Entity Name | Providence St Joseph Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Joseph Anderson, Po Box 12, Liberty Lake, WA 99019-0012 Ph: (866) 747-2455  | Matthew Joseph Anderson, 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-5680  | 
Donald Paul Ericksen, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680  | |
Michael Righetti, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-8250 Fax: 406-883-8254  | |
Joost Gazendam, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8960  | |
Michael Patrick Wright, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910  |