Melanie Fern Anderson, AGPCNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Sun City West, Arizona. Her current practice location is
14300 W Granite Valley Dr Ste E23, Sun City West, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 975-0500.
Melanie Fern Anderson is licensed to practice in Arizona (license number 252062) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770397259.
Physician's Profile
| Full Name | Melanie Fern Anderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 14300 W Granite Valley Dr Ste E23, Sun City West, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770397259
- Provider Enumeration Date: 02/04/2025
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406865492
- Enrollment ID: I20250221000244
Medical Identifiers
Medical identifiers for Melanie Fern Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770397259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RP1001X | Internal Medicine - Pulmonary Disease | 252062 (Arizona) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 252062 (Arizona) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 252062 (Arizona) | Primary |
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. Melanie Fern Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Craig M Rundbaken Do Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821279308
PECOS PAC ID: 8628982741
Enrollment ID: O20031113000543 |
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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. Melanie Fern 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 |
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Melanie Fern Anderson, AGPCNP-C
17633 W Marshall Ln,
Surprise, AZ 85388-1743
Ph: (623) 377-6165 | Melanie Fern Anderson, AGPCNP-C
14300 W Granite Valley Dr Ste E23,
Sun City West, AZ 85375-5798
Ph: (623) 975-0500 |
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