Dr Kenyon B Anderson, OD is a medicare enrolled "Optometrist" provider in Santaquin, Utah. He went to University Of Missouri St Louis - School Of Optometry and graduated in 2005 and has 20 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Keeneye Family Vision Pc, Wolf Eye Center, Inc. and his current practice location is
252 W Main St Ste C, Santaquin, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 609-2020.
Dr Kenyon B Anderson is licensed to practice in Utah (license number 8897506) 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 1043280555.
Healthcare Provider's Profile
| Full Name | Dr Kenyon B Anderson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 20 Years |
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| Location | 252 W Main St Ste C, Santaquin, Utah |
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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 Kenyon B Anderson attended and graduated from University Of Missouri St Louis - School Of Optometry in 2005
NPI Data:
- NPI Number: 1043280555
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537187547
- Enrollment ID: I20140627000175
Medical Identifiers
Medical identifiers for Dr Kenyon B Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043280555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 8897506 (Utah) | Primary |
| 152W00000X | Optometrist | ODP-100087 (Idaho) | Secondary |
| 152W00000X | Optometrist | 235042 (Alaska) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Keeneye Family Vision Pc | 4385868108 | 2 |
| Wolf Eye Center, Inc. | 7012032949 | 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 Kenyon B Anderson allows following entities to bill medicare on his behalf.
| Provider Name | Keeneye Family Vision Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093139438
PECOS PAC ID: 4385868108
Enrollment ID: O20140618001650 |
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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 Kenyon B 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 Kenyon B Anderson, OD
252 W Main St Ste C,
Santaquin, UT 84655-7086
Ph: (801) 609-2020 | Dr Kenyon B Anderson, OD
252 W Main St Ste C,
Santaquin, UT 84655
Ph: (801) 609-2020 |
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