| Tanner Anderson, | |
|
3126 W Fm 120, Denison, TX 75020-1249 | |
| (903) 416-7544 | |
| (903) 416-7545 |
| Full Name | Tanner Anderson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 3126 W Fm 120, Denison, Texas |
| 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 |
|---|---|---|---|
| 1902346109 | NPI | - | NPPES |
| 3691941-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP133514 (Texas) | Primary |
| 363L00000X | Nurse Practitioner | AP133514 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texoma Medical Center | Denison, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Williams Medical Group Practice, Llc | 3375832157 | 162 |
| Level One Emergency Physicians Llc | 7810371044 | 30 |
| Williams Medical Group Practice, Llc | 3375832157 | 162 |
| Entity Name | Concord North Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20160429000472 |
| Entity Name | Nes Southwest Medical Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093487449 PECOS PAC ID: 9234520800 Enrollment ID: O20211216001478 |
| Entity Name | Level One Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528790193 PECOS PAC ID: 7810371044 Enrollment ID: O20220907000904 |
| Entity Name | Level One Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427780097 PECOS PAC ID: 0941684179 Enrollment ID: O20220907001111 |
| Entity Name | Level One Emergency Anna Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285329516 PECOS PAC ID: 4486094232 Enrollment ID: O20240426003513 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Anderson, 5012 S Us Hwy 75, Suite 300, Attn Billing, Denison, TX 75020 Ph: (903) 416-7544 | Tanner Anderson, 3126 W Fm 120, Denison, TX 75020-1249 Ph: (903) 416-7544 |
Quyen Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3126 W Fm 120, Denison, TX 75020 Phone: 903-416-7544 Fax: 903-416-7545 | |
Ms. Rachel Elizabeth Kerns, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 N Armstrong Ave, Denison, TX 75020 Phone: 903-465-2440 | |
Shaylon Miller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5012 S Us Highway 75 Ste 300, Denison, TX 75020 Phone: 903-416-6430 Fax: 903-416-6431 | |
Connie Joan Heard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 North Armstrong, Denison, TX 75020 Phone: 903-465-2440 Fax: 903-465-2298 | |
Mrs. Theresa Danielle Englutt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5012 S Us Highway 75 Ste 200, Denison, TX 75020 Phone: 903-465-5012 | |
Cristi A Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5012 S Us Hwy 75, Suite 300, Denison, TX 75020 Phone: 903-416-6010 Fax: 903-416-6183 | |
Jessica Marie Kent, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5016 Us Hwy 75, Denison, TX 75020 Phone: 903-416-4000 |