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Mickey D Anderson

  • Male

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