Mr Douglas Porter Anderson, PA is a medicare enrolled "Physician Assistant" in Ripley, Mississippi. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Chris Park Do Pc and his current practice location is
101 Cunningham Dr, Ripley, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 837-3011.
Mr Douglas Porter Anderson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235676792.
Provider's Profile
| Full Name | Mr Douglas Porter Anderson |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 101 Cunningham Dr, Ripley, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Douglas Porter Anderson graduated from nursing school in 2016
NPI Data:
- NPI Number: 1235676792
- Provider Enumeration Date: 01/23/2017
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547544710
- Enrollment ID: I20170307002079
Medical Identifiers
Medical identifiers for Mr Douglas Porter Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235676792 | NPI | - | NPPES |
| 03482206 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Chris Park Do Pc | 6204258064 | 3 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Porter Anderson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Douglas Porter Anderson, PA
4637 Whitechapel Ln,
Belden, MS 38826-9780
Ph: (662) 255-2163 | Mr Douglas Porter Anderson, PA
101 Cunningham Dr,
Ripley, MS 38663-1302
Ph: (662) 837-3011 |
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