Nathanial R Anderson, is a medicare enrolled "Physician Assistant" in Round Mountain, California. His current practice location is
29632 Hwy 299e, Round Mountain, California. You can reach out to his office (for appointments etc.) via phone at
(530) 337-5750.
Nathanial R Anderson is licensed to practice in California (license number 53324) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376731570.
Provider's Profile
| Full Name | Nathanial R Anderson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 29632 Hwy 299e, Round Mountain, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376731570
- Provider Enumeration Date: 10/12/2007
- Last Update Date: 04/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 6002107406
- Enrollment ID: I20160615000300
Medical Identifiers
Medical identifiers for Nathanial R Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376731570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 53324 (California) | Primary |
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. Nathanial R 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 |
|---|
Nathanial R Anderson,
Po Box 228,
Round Mountain, CA 96084-0228
Ph: (530) 337-5750 | Nathanial R Anderson,
29632 Hwy 299e,
Round Mountain, CA 96084
Ph: (530) 337-5750 |
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