Kevin Anderson, DO - Medicare Family Practice in Chickasha, OK

Kevin Anderson, DO is a medicare enrolled "Family Medicine" physician in Chickasha, Oklahoma. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Grady Memorial Hospital and his current practice location is 2100 W Iowa Ave, Suite A, Chickasha, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 224-2100.

Kevin Anderson is licensed to practice in Oklahoma (license number 4878) 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 1154655157.

Contact Information

Kevin Anderson, DO
2100 W Iowa Ave, Suite A,
Chickasha, OK 73018-2736
(405) 224-2100
(405) 779-2855



Physician's Profile

Full NameKevin Anderson
GenderMale
SpecialityFamily Practice
Experience15 Years
Location2100 W Iowa Ave, Chickasha, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Anderson graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1154655157
  • Provider Enumeration Date: 09/23/2009
  • Last Update Date: 08/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9234385386
  • Enrollment ID: I20120806000855

Medical Identifiers

Medical identifiers for Kevin Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154655157NPI-NPPES
200312900BMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4878 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifeline Home Health Care, IncChickasha, OKHome health agency
Grady Memorial HospitalChickasha, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grady Memorial Hospital064817577836

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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. Kevin Anderson allows following entities to bill medicare on his behalf.
Entity NameGrady Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750370268
PECOS PAC ID: 0648175778
Enrollment ID: O20031203000193

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Entity NameGrady Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164859260
PECOS PAC ID: 0648175778
Enrollment ID: O20150520000323

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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. Kevin 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
Kevin Anderson, DO
2100 W Iowa Ave, Suite A,
Chickasha, OK 73018-2736

Ph: (405) 224-2100
Kevin Anderson, DO
2100 W Iowa Ave, Suite A,
Chickasha, OK 73018-2736

Ph: (405) 224-2100

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Family Medicine Doctors in Chickasha, OK

Mrs. Abby Marie Housman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2855
Katie Allyse Dudley, APRN, CNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2310
Mary Masterman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2310
Kacey L Wallace, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1000 W Choctaw Ave Ste 9, Chickasha, OK 73018
Phone: 405-544-2940    Fax: 405-337-9632
Sibin Nair, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018
Phone: 405-224-2100    
Jeffrey Lee Miller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2310

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