| Dr Benjamin Michael Anderson, PSYD | |
|
1400 Grand Avenue, Newport, KY 41071 | |
| (859) 301-5901 | |
| (859) 301-5940 |
| Full Name | Dr Benjamin Michael Anderson |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 21 Years |
| Location | 1400 Grand Avenue, Newport, Kentucky |
| 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 |
|---|---|---|---|
| 1730306754 | NPI | - | NPPES |
| K237430 | Other | KY | KY MEDICARE |
| 7100501510 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 71007260 (Illinois) | Secondary |
| 103T00000X | Psychologist | 128177 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Michael Anderson, PSYD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-5901 | Dr Benjamin Michael Anderson, PSYD 1400 Grand Avenue, Newport, KY 41071 Ph: (859) 301-5901 |
Mary Hall Lieneck, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 | |
Tara Luchkiw, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 E 5th St, Newport, KY 41071 Phone: 859-331-3292 Fax: 859-578-2864 | |
Dr. Lori Ann Bradbury-robinson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Washington Ave Ste 260, Newport, KY 41071 Phone: 502-764-3317 Fax: 859-292-6669 | |
Tobias C Weiss, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 718 Columbia St, Newport, KY 41071 Phone: 859-491-6510 Fax: 859-491-6589 |