| Travis Anderson, MD | |
|
701 E Rosser Ave, Bismarck, ND 58501-4461 | |
| (701) 751-9500 | |
| (701) 751-9508 |
| Full Name | Travis Anderson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 701 E Rosser Ave, Bismarck, 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 |
|---|---|---|---|
| 1417442880 | NPI | - | NPPES |
| 12083 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RL15202 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clay County Medical Corporation | West point, MS | Hospital |
| North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
| Och Regional Medical Center | Starkville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Relias Emergency Medicine Specialists Of West Point, Llc | 0042648594 | 19 |
| Rh Emergency Medicine Of Och Regional Llc | 0941734990 | 21 |
| Relias Emergency Medicine Specialists Of Amory, Llc | 4486088853 | 20 |
| Relias Emergency Medicine Specialists Of Tupelo Llc | 6608179734 | 34 |
| Entity Name | Pontotoc Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
| Entity Name | Relias Emergency Medicine Specialists Of Tupelo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841664661 PECOS PAC ID: 6608179734 Enrollment ID: O20160125001174 |
| Entity Name | Relias Emergency Medicine Specialists Of Amory, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265074769 PECOS PAC ID: 4486088853 Enrollment ID: O20191218002639 |
| Entity Name | Relias Hospitalist Medicine Specialists Of West Point Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821638578 PECOS PAC ID: 4688002322 Enrollment ID: O20200312000355 |
| Entity Name | Relias Emergency Medicine Specialists Of West Point, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275172736 PECOS PAC ID: 0042648594 Enrollment ID: O20200316000656 |
| Entity Name | Relias Hospitalist Medicine Specialists Of Tupelo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710622832 PECOS PAC ID: 8022498781 Enrollment ID: O20220712001702 |
| Entity Name | Rh Emergency Medicine Of Och Regional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093532889 PECOS PAC ID: 0941734990 Enrollment ID: O20241113001644 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Anderson, MD 701 E Rosser Ave, Bismarck, ND 58501-4461 Ph: (701) 751-9500 | Travis Anderson, MD 701 E Rosser Ave, Bismarck, ND 58501-4461 Ph: (701) 751-9500 |
Gary Robert Betting, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 E Broadway, Center For Family Medicine, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508 | |
James B Bossort, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Haily Datz, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500 Fax: 701-751-9508 | |
Monika Pothamsetti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Rosser Ave, Bismarck, ND 58501 Phone: 701-751-9500 | |
Olimpia Rauta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-8305 | |
Dr. Jeremiah Jon Penn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N 9th St., Bismarck, ND 58501 Phone: 701-530-6000 Fax: 701-530-6422 | |
Dr. Todd W Schaffer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3318 N 14th St, Bismarck, ND 58503 Phone: 701-323-8300 Fax: 701-323-8305 |