Mickey D Anderson
Medical Specialty
Professional ID
- NPI: 1497728323
- PECOS ID: 6305812850
- Enrollment ID: I20040907000323
- Credential(MD, DO, DPM): MD
- Medical School: University Of Louisville School Of Medicine
- Medical School Graduation Year: 1979
Hospital Service
- Hospital CCN1: 180025
- Business Name (LBN)1: Flaget Memorial Hospital
Medical Practices
- Organization Name: Kentuckyone Health Medical Group Inc
- Group Practice ID assigned by PECOS: 8820993702
- Number of Group Practice member: 590
Location
- Address1: 1850 Bluegrass Ave
- Address2:
- City: Louisville
- State: Kentucky
- Zip Code: 40215
- Phone Number: (502)367-3360
Location
- Address1: 4305 New Shepherdsville
- Address2:
- City: Bardstown
- State: Kentucky
- Zip Code: 40004
- Phone Number: (502)349-4641
Location
- Address1: 4305 New Shepherdsville Rd
- Address2:
- City: Bardstown
- State: Kentucky
- Zip Code: 40004
- Phone Number: (502)315-1458
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes