Michael R Anderson, MD in Fort Atkinson, WI

Michael R Anderson, MD is a medicare enrolled "Otolaryngology" physician in Fort Atkinson, Wisconsin. His current practice location is 611 Sherman Ave E, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 563-6667.

Michael R Anderson is licensed to practice in Wisconsin (license number 45652-020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588685077.

Contact Information

	Michael R Anderson, MD
	611 Sherman Ave E, Fort Atkinson, WI 53538-1960
	(920) 563-6667
	(920) 563-0145

Map and Direction

Physician's Profile

Full Name	Michael R Anderson
Gender	Male
Speciality	Otolaryngology
Location	611 Sherman Ave E, Fort Atkinson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588685077
Provider Enumeration Date: 07/21/2006
Last Update Date: 12/22/2025

Medicare PECOS Information:

PECOS PAC ID: 1658262803
Enrollment ID: I20040324001383

Medical Identifiers

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

Identifier	Type	State	Issuer
1588685077	NPI	-	NPPES
34399400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	45652-020 (Wisconsin)	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. Michael R Anderson allows following entities to bill medicare on his behalf.

Entity Name	Fort Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411

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. Michael R 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
Michael R Anderson, MD Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (920) 563-6667	Michael R Anderson, MD 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 563-6667

Reviews and Comments

Otolaryngology Doctors in Fort Atkinson, WI

Dr. William C. Hofmann, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-563-6667
Matthew T Sdano, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-563-4466
David S Rowe, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 512 Wilcox St, Fort Atkinson, WI 53538 Phone: 920-563-6667 Fax: 920-563-0145

Michael R Anderson, MD - Medicare Otolaryngology in Fort Atkinson, WI