Dr Edwin Gwin Anderson, OD is a medicare enrolled "Optometrist" provider in Dresden, Tennessee. He went to Southern College Of Optometry and graduated in 1977 and has 49 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Jessup Mobile Opt Tn Llc and his current practice location is
113 E Locust St, Dresden, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 364-2150.
Dr Edwin Gwin Anderson is licensed to practice in Tennessee (license number ODT643) 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 1609833227.
Healthcare Provider's Profile
| Full Name | Dr Edwin Gwin Anderson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 49 Years |
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| Location | 113 E Locust St, Dresden, Tennessee |
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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:
- Dr Edwin Gwin Anderson attended and graduated from Southern College Of Optometry in 1977
NPI Data:
- NPI Number: 1609833227
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 10/23/2014
Medicare PECOS Information:
- PECOS PAC ID: 8123169547
- Enrollment ID: I20100213000043
Medical Identifiers
Medical identifiers for Dr Edwin Gwin Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609833227 | NPI | - | NPPES |
| ODT643 | Other | TN | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | ODT643 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jessup Mobile Opt Tn Llc | 3476898073 | 6 |
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. Dr Edwin Gwin Anderson allows following entities to bill medicare on his behalf.
| Provider Name | Mckenzie Medical Center Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700534229
PECOS PAC ID: 2365427853
Enrollment ID: O20040619000083 |
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| Provider Name | Jessup Mobile Opt Tn Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740763325
PECOS PAC ID: 3476898073
Enrollment ID: O20190102000685 |
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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. Dr Edwin Gwin 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 |
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Dr Edwin Gwin Anderson, OD
Po Box 31,
Dresden, TN 38225-0031
Ph: (731) 364-2150 | Dr Edwin Gwin Anderson, OD
113 E Locust St,
Dresden, TN 38225-1440
Ph: (731) 364-2150 |
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