| Roger Fabian Anderson Jr, MD | |
|
11200 Governor Manly Way, Suite 102, Raleigh, NC 27614-8595 | |
| (919) 570-7550 | |
| (919) 570-7551 |
| Full Name | Roger Fabian Anderson Jr |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 44 Years |
| Location | 11200 Governor Manly Way, Raleigh, North Carolina |
| 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 |
|---|---|---|---|
| 1528096591 | NPI | - | NPPES |
| 8911256 | Medicaid | NC | |
| 1528096591 | Other | NC | PARTNERS MEDICARE |
| 11256 | Other | NC | BLUE CROSS/BLUE SHIELD |
| P00472369 | Other | NC | RAILROAD MEDICARE |
| N39233 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 30738 (South Carolina) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 39233 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rex Hospital | Raleigh, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rex Hospital Inc | 0840109864 | 673 |
| Entity Name | University Of North Carolina At Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | Smithfield Radiation Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255360459 PECOS PAC ID: 6709835846 Enrollment ID: O20090210000776 |
| Entity Name | Johnston Radiation Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578885406 PECOS PAC ID: 7012048838 Enrollment ID: O20100623000219 |
| Entity Name | Rex Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181 |
| Entity Name | Rex Radiation Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164880571 PECOS PAC ID: 5294025441 Enrollment ID: O20160601000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Fabian Anderson Jr, MD 11200 Governor Manly Way, Suite 102, Raleigh, NC 27614-8595 Ph: (919) 570-7550 | Roger Fabian Anderson Jr, MD 11200 Governor Manly Way, Suite 102, Raleigh, NC 27614-8595 Ph: (919) 570-7550 |
Dr. Teerath Peter Tanpitukpongse, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612 Phone: 919-781-1437 Fax: 919-787-4870 | |
Dennis Martin O'donnell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 Browning Pl, Raleigh, NC 27609 Phone: 919-787-8221 Fax: 919-789-4461 | |
Laura Oliver Thomas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7000 Fax: 919-350-8959 | |
Bryan Maclin Peters, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 Browning Pl, Raleigh, NC 27609 Phone: 919-787-8221 Fax: 919-789-4461 | |
Dr. Rahul Arya, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7000 Fax: 919-350-8959 | |
Sejal Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-954-3700 | |
Bryce Alan Harbertson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-954-3624 |