Kevin Anderson, MD - Medicare General Practice in Ellsworth Afb, SD

Kevin Anderson, MD is a medicare enrolled "General Practice" physician in Ellsworth Afb, South Dakota. His current practice location is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 385-3332.

Kevin Anderson is licensed to practice in Virginia (license number 0101275948) 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 1003494816.

Contact Information

Kevin Anderson, MD
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821
(605) 385-3332
Not Available



Physician's Profile

Full NameKevin Anderson
GenderMale
SpecialityGeneral Practice
Location2900 Doolittle Dr, Ellsworth Afb, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003494816
  • Provider Enumeration Date: 04/01/2021
  • Last Update Date: 08/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345696514
  • Enrollment ID: I20231024002044

Medical Identifiers

Medical identifiers for Kevin Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003494816NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 0101275948 (Virginia)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. 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, MD
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821

Ph: (605) 385-3332
Kevin Anderson, MD
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821

Ph: (605) 385-3332

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› Verified 3 days ago


General Practice Doctors in Ellsworth Afb, SD

Maxwell Tuo Cheng, D.O.
General Practice
Medicare: Medicare Enrolled
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-6700    
Dr. Olivia Michelle Vaughan, D.O.
General Practice
Medicare: Medicare Enrolled
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-3111    

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