Ronald Anderson, PMHNO-BC - Medicare Nurse Practitioner in Petersburg, VA

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Ronald Anderson, PMHNO-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Petersburg, Virginia. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Spiritual Healing, Toller Enterprises, Llc, Axis Healthcare Group, Spiritual Healing and his current practice location is 350 Poplar Dr, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 733-6874.

Ronald Anderson is licensed to practice in Maryland (license number R164845) 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 1356058051.

Contact Information

Ronald Anderson, PMHNO-BC
350 Poplar Dr,
Petersburg, VA 23805-9367
(804) 733-6874
Not Available

Map and Direction




Provider's Profile

Full NameRonald Anderson
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location350 Poplar Dr, Petersburg, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ronald Anderson graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1356058051
  • Provider Enumeration Date: 11/01/2022
  • Last Update Date: 04/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941662191
  • Enrollment ID: I20230821000267

Medical Identifiers

Medical identifiers for Ronald Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356058051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health R164845 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R164845 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spiritual Healing711338880220
Toller Enterprises, Llc862848192651
Axis Healthcare Group125440955051
Spiritual Healing711338880220

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ronald Anderson allows following entities to bill medicare on his behalf.
Entity NameAxis Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326295098
PECOS PAC ID: 1254409550
Enrollment ID: O20120919000403
Entity NameToller Enterprises, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821697533
PECOS PAC ID: 8628481926
Enrollment ID: O20210105002952
Entity NameSpiritual Healing
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003502337
PECOS PAC ID: 7113388802
Enrollment ID: O20230727002041

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. Ronald 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 AddressPractice Location Address
Ronald Anderson, PMHNO-BC
350 Poplar Dr,
Petersburg, VA 23805-9367

Ph: () -		Ronald Anderson, PMHNO-BC
350 Poplar Dr,
Petersburg, VA 23805-9367

Ph: (804) 733-6874

Reviews and Comments


Nurse Practitioner Nurses in Petersburg, VA

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Linda P. Whiteley, NP
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Melissa Dalton Wagner, APRN
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Chiquita Michone Thomas-jackson, NP
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Practice Location: 3916 S Crater Rd, Petersburg, VA 23805
Phone: 804-526-4300    
Ms. Erica Lynn Bagby, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    Fax: 804-733-3506

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.