Keith Richard Anderson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Hayward, Wisconsin. His current practice location is
11040 N State Road 77, Hayward, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 934-4321.
Keith Richard Anderson is licensed to practice in Wisconsin (license number 1017-25) 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 1902185051.
Healthcare Provider's Profile
| Full Name | Keith Richard Anderson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 11040 N State Road 77, Hayward, Wisconsin |
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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:
- Keith Richard Anderson attended and graduated from in
NPI Data:
- NPI Number: 1902185051
- Provider Enumeration Date: 08/08/2011
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Keith Richard Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902185051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 850 (Minnesota) | Secondary |
| 213E00000X | Podiatrist | 1017-25 (Wisconsin) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 850 (Minnesota) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 1017-25 (Wisconsin) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 850 (Minnesota) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1017-25 (Wisconsin) | Primary |
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. Keith Richard 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 |
|---|
Keith Richard Anderson, DPM
11040 N State Road 77,
Hayward, WI 54843-3606
Ph: (715) 934-4321 | Keith Richard Anderson, DPM
11040 N State Road 77,
Hayward, WI 54843-3606
Ph: (715) 934-4321 |
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