Dr Eddie Evan Anderson, DO - Medicare Emergency Medicine in Gassaway, WV

Dr Eddie Evan Anderson, DO is a medicare enrolled "Emergency Medicine" physician in Gassaway, West Virginia. His current practice location is 100 Hoylman Dr, Gassaway, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 364-5156.

Dr Eddie Evan Anderson is licensed to practice in West Virginia (license number 1995) 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 1154360634.

Contact Information

Dr Eddie Evan Anderson, DO
100 Hoylman Dr,
Gassaway, WV 26624-9321
(304) 364-5156
Not Available



Physician's Profile

Full NameDr Eddie Evan Anderson
GenderMale
SpecialityEmergency Medicine
Location100 Hoylman Dr, Gassaway, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154360634
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 04/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214999317
  • Enrollment ID: I20041101000752

Medical Identifiers

Medical identifiers for Dr Eddie Evan Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154360634NPI-NPPES
PENDINGMedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 1995 (West Virginia)Primary

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 Eddie Evan Anderson allows following entities to bill medicare on his behalf.
Entity NameLittle Kanawha Family Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295770600
PECOS PAC ID: 9335181759
Enrollment ID: O20050525001255

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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 Eddie Evan 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 AddressPractice Location Address
Dr Eddie Evan Anderson, DO
604 W Main St,
Glenville, WV 26351-1058

Ph: () -
Dr Eddie Evan Anderson, DO
100 Hoylman Dr,
Gassaway, WV 26624-9321

Ph: (304) 364-5156

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Emergency Medicine Doctors in Gassaway, WV

Mac Gene Bailes, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hoylman Dr, Gassaway, WV 26624
Phone: 304-364-1060    
Dr. Guy David Leveaux, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hoylman Dr, Emergency Department, Braxton County Hospital, Gassaway, WV 26624
Phone: 304-364-1060    
Brent Glover, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hoylman Dr, Gassaway, WV 26624
Phone: 304-364-1060    Fax: 304-364-5136

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