Keith Richard Anderson, DPM - Medicare Podiatrist in Hayward, WI

Keith Richard Anderson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Hayward, Wisconsin. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Medical Services, Inc, Memorial Medical Center Inc and his current practice location is 11040 N State Road 77, Hayward, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 934-4321.

Keith Richard Anderson is licensed to practice in Wisconsin (license number 1017-25) 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 1902185051.

Contact Information

Keith Richard Anderson, DPM
11040 N State Road 77,
Hayward, WI 54843-3606
(715) 934-4321
Not Available



Healthcare Provider's Profile

Full NameKeith Richard Anderson
GenderMale
SpecialityPodiatry
Experience16 Years
Location11040 N State Road 77, Hayward, Wisconsin
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:
  • Keith Richard Anderson graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1902185051
  • Provider Enumeration Date: 08/08/2011
  • Last Update Date: 05/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274707252
  • Enrollment ID: I20130510000047

Medical Identifiers

Medical identifiers for Keith Richard Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902185051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 850 (Minnesota)Secondary
213E00000XPodiatrist 1017-25 (Wisconsin)Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine 850 (Minnesota)Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine 1017-25 (Wisconsin)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 850 (Minnesota)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 1017-25 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterAshland, WIHospital
Hayward Area Memorial HospitalHayward, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Services, Inc943606136323
Memorial Medical Center Inc802200044735

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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. Keith Richard Anderson allows following entities to bill medicare on his behalf.
Provider NameMemorial Medical Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437179231
PECOS PAC ID: 8022000447
Enrollment ID: O20040402000938

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Provider NameMedical Services, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1912992827
PECOS PAC ID: 9436061363
Enrollment ID: O20040914001088

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Provider NameMedical Services, Inc
Provider TypePart A Provider - Critical Access Hospital
Provider IdentifiersNPI Number: 1912992827
PECOS PAC ID: 9436061363
Enrollment ID: O20061104000208

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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. Keith Richard 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
Keith Richard Anderson, DPM
11040 N State Road 77,
Hayward, WI 54843-3606

Ph: (715) 934-4321
Keith Richard Anderson, DPM
11040 N State Road 77,
Hayward, WI 54843-3606

Ph: (715) 934-4321

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Podiatrist in Hayward, WI

Comprehensive Foot & Ankle, Sc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 11128n State Highway 27/77, Northwoods Speciality Clinic, Hayward, WI 54843
Phone: 715-634-9023    Fax: 715-634-9935
Dr. Tanya M. Barton, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 11128 N State Road 77, Hayward, WI 54843
Phone: 715-634-9023    Fax: 715-634-9935

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