7725 N KNOXVILLE AVE SUITE 100
PEORIA, IL 61614-2079 US PECOS Enrolled
Overview
Dean Anderson is a Nurse Practitioner (Family) in the PEORIA area and has over 24 years of experience. Dean Anderson primary office location is at 7725 N KNOXVILLE AVE and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Illinois College Of Med (chi/peor/rock/chm-Urb) and graduated 2000 The NPI number is 1205850278 and the information was updated approximately 17 years ago.
Dean Anderson is affiliated with one medical group in the PEORIA area, IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| - | IL |
| Type/Issuer | Identifier | State |
|---|---|---|
| HEALTH ALLIANCE | 063750 | IL |
| BCBS PPO | 7215059 | IL |
| JOHN DEERE | IL01Q4 | IL |
| HEALTHLINK | 472315 | IL |
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Family) - Taxonomy Code 363LF0000X | IL | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20080402000085 |
| PECOS Individual PAC ID: | 5193802155 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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