Dr Blaine P Andersen, MD in Logan, UT - Medicare Plastic Surgery

Dr Blaine P Andersen, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in Logan, Utah. His current practice location is 1300 N 500 E, #260, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-3400.

Dr Blaine P Andersen is licensed to practice in Utah (license number 1788168905) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538279609.

Contact Information

	Dr Blaine P Andersen, MD
	1300 N 500 E, #260, Logan, UT 84341-2408
	(435) 753-3400
	(435) 787-8887

Physician's Profile

Full Name	Dr Blaine P Andersen
Gender	Male
Speciality	Plastic Surgery - Surgery Of The Hand
Location	1300 N 500 E, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538279609
Provider Enumeration Date: 08/30/2006
Last Update Date: 11/10/2016

Medicare PECOS Information:

PECOS PAC ID: 2769522390
Enrollment ID: I20091211000682

Medical Identifiers

Medical identifiers for Dr Blaine P Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538279609	NPI	-	NPPES
003052200	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	1788161205 (Utah)	Secondary
2082S0105X	Plastic Surgery - Surgery Of The Hand	1788168905 (Utah)	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. Dr Blaine P Andersen 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
Dr Blaine P Andersen, MD 1300 N 500 E, #260, Logan, UT 84341-2408 Ph: (435) 753-3400	Dr Blaine P Andersen, MD 1300 N 500 E, #260, Logan, UT 84341-2408 Ph: (435) 753-3400

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Dr Blaine P Andersen, MD - Medicare Plastic Surgery in Logan, UT