| William Goin Anderson, DO | |
|
2061 Smoketree Avenue, Lake Havasu City, AZ 86403 | |
| (928) 453-3332 | |
| (928) 453-1590 |
| Full Name | William Goin Anderson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 34 Years |
| Location | 2061 Smoketree Avenue, Lake Havasu City, Arizona |
| 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 |
|---|---|---|---|
| 1710056221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 3015 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Desert Dermatology And Surgery Pc | 6305732512 | 9 |
| Entity Name | Arizona Desert Dermatology And Surgery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386702546 PECOS PAC ID: 6305732512 Enrollment ID: O20040225000253 |
| Mailing Address | Practice Location Address |
|---|---|
| William Goin Anderson, DO 2061 Smoketree Avenue, Lake Havasu City, AZ 86403 Ph: (928) 453-3332 | William Goin Anderson, DO 2061 Smoketree Avenue, Lake Havasu City, AZ 86403 Ph: (928) 453-3332 |
Ms. Jade Marie Vinatieri, FNP-BC Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2091 Smoketree Ave N Ste 103, Lake Havasu City, AZ 86403 Phone: 928-453-3332 | |
Dr. Donald P Kadunce, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 735 Little Dr, Lake Havasu City, AZ 86406 Phone: 602-692-2243 | |
Dr. Tejaswi Venkata Mudigonda, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1801 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-5400 Fax: 928-216-4165 |