Stacia S Anderson, MD - Medicare Obstetrics & Gynecology in Saint Cloud, MN

Stacia S Anderson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Saint Cloud, Minnesota. Her current practice location is 1900 Centracare Cir, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 654-3630.

Stacia S Anderson is licensed to practice in Minnesota (license number 44297) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720079981.

Contact Information

Stacia S Anderson, MD
1900 Centracare Cir,
Saint Cloud, MN 56303-5000
(320) 654-3630
(320) 654-3657



Physician's Profile

Full NameStacia S Anderson
GenderFemale
SpecialityObstetrics & Gynecology
Location1900 Centracare Cir, Saint Cloud, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720079981
  • Provider Enumeration Date: 11/04/2005
  • Last Update Date: 11/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2860537032
  • Enrollment ID: I20100227000081

Medical Identifiers

Medical identifiers for Stacia S Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720079981NPI-NPPES
1030414OtherPREFERRED ONE
1855107OtherFIRST HEALTH PLAN
55G63ANOtherBLUE CROSS BLUE SHIELD
COMPOtherMMSI
1545844OtherARAZ GROUP AMERICAS PPO
C11369OtherRR MEDICARE
COMPOtherONE HEALTH PLAN GREAT WES
0702359OtherMEDICA HEALTH PLANS
160056138OtherRR MEDICARE
052720300OtherMEDICAL ASSISTANCE MA
HP34883OtherHEALTH PARTNERS
COMPOtherCHAMPUS
141335OtherU CARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 44297 (Minnesota)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. Stacia S Anderson allows following entities to bill medicare on her behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293

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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. Stacia S 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
Stacia S Anderson, MD
1900 Centracare Cir,
Saint Cloud, MN 56303-5000

Ph: (320) 654-3630
Stacia S Anderson, MD
1900 Centracare Cir,
Saint Cloud, MN 56303-5000

Ph: (320) 654-3630

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Obstetrics & Gynecology Doctors in Saint Cloud, MN

Catherine A Matuska, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303
Phone: 320-654-3630    Fax: 320-654-3657
Dr. Christina Marie Bulisco, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Centracare Cir # 2300, Centracare Health Plaza Obstetrics And Women's Health, Saint Cloud, MN 56303
Phone: 320-654-3630    Fax: 320-654-3657
Ellen E Brown, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Centracare Cir, Centracare Clinic Women And Children's Ob/gyn, Saint Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-656-7115
David A Kroska, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303
Phone: 320-654-3630    Fax: 320-654-3657
Jessica Pike Swartout, MD
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303
Phone: 320-251-2700    
Diane Rose Duckworth, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1301 33rd St S, Saint Cloud, MN 56301
Phone: 320-251-8181    Fax: 320-251-6942
Eric G Thompson, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303
Phone: 320-654-3630    Fax: 320-654-3657

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