| Mr Wayne L Anderson, MD | |
|
1213 15th Ave W, Suite 200, Williston, ND 58801 | |
| (701) 572-4003 | |
| (701) 572-4007 |
| Full Name | Mr Wayne L Anderson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 46 Years |
| Location | 1213 15th Ave W, Williston, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053417840 | NPI | - | NPPES |
| 20537 | Other | ND | BLUE CROSS |
| 0040157 | Medicaid | MT | |
| 17987 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4768 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Alexius Health Williston | Williston, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Medical Center | 7416851381 | 75 |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wayne L Anderson, MD 1213 15th Ave W, Suite 200, Williston, ND 58801 Ph: (701) 572-4003 | Mr Wayne L Anderson, MD 1213 15th Ave W, Suite 200, Williston, ND 58801 Ph: (701) 572-4003 |
Ashley Melissa Hagel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Dr. Ashwini Bharadwaj Vijayakumar, MD Surgery Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7401 | |
Dr. Phillip J Ruffalo, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1213 15th Ave W, Suite 250, Williston, ND 58801 Phone: 701-577-0319 Fax: 701-572-7438 |