Leslie Ann Anderson, PT is a medicare enrolled "Physician Assistant" provider in Superior, Wisconsin. She went to University Of North Dakota School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Marys Hospital Of Superior and her current practice location is
3500 Tower Ave, Superior, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 817-7100.
Leslie Ann Anderson is licensed to practice in Wisconsin (license number 4475) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578686622.
Healthcare Provider's Profile
| Full Name | Leslie Ann Anderson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 3500 Tower Ave, Superior, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Leslie Ann Anderson attended and graduated from University Of North Dakota School Of Medicine in 2018
NPI Data:
- NPI Number: 1578686622
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 08/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 6507963543
- Enrollment ID: I20180830001408
Medical Identifiers
Medical identifiers for Leslie Ann Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578686622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 070.011396 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 4475 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Marys Hospital Of Superior | 8628964228 | 102 |
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. Leslie Ann 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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Leslie Ann Anderson, PT
1702 University Dr S,
Fargo, ND 58103-4940
Ph: () - | Leslie Ann Anderson, PT
3500 Tower Ave,
Superior, WI 54880
Ph: (715) 817-7100 |
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