| Misty Kay Anderson, DO | |
|
520 Chautauqua Blvd, Valley City, ND 58072-3145 | |
| (701) 845-6000 | |
| Not Available |
| Full Name | Misty Kay Anderson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 520 Chautauqua Blvd, Valley City, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417109760 | NPI | - | NPPES |
| 15441 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | PT 11654 (North Dakota) | Secondary |
| 207R00000X | Internal Medicine | 11654 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health At Home | Valley city, ND | Home health agency |
| City County Health District | Valley city, ND | Home health agency |
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Chi Health At Home | Valley city, ND | Hospice |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Chi Mercy Health | Valley city, ND | Hospital |
| Jamestown Regional Medical Center | Jamestown, ND | Hospital |
| Sheyenne Care Center | Valley city, ND | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Mercy Hospital Of Valley City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20040701000086 |
| Entity Name | Mercy Hospital Of Valley City |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20070611000170 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Kay Anderson, DO Po Box 2010, Fargo, ND 58122-0605 Ph: () - | Misty Kay Anderson, DO 520 Chautauqua Blvd, Valley City, ND 58072-3145 Ph: (701) 845-6000 |
Madeline Z Luke, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 Fax: 701-845-6150 |