Lee A Anderson, MD
Individual provider Active NPI Family Medicine Physician · Phillips, WI
NPI 1104913854 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104913854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 39002 (WI)
- Practice address
- 104 Trinity Dr
Phillips, WI 54555 - Phone
- (715) 339-2101
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Flambeau Hospital, Inc.
Practice addresses (Care Compare)
240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140
250 Lawrence Ave
Park Falls, WI 54552-1431
Phone (715) 762-2449
354 Linden St
Park Falls, WI 54552-1483
Phone (844) 305-9248
541 S Lake Ave
Phillips, WI 54555-1410
Phone (715) 339-6201
595 Peterson Dr
Phillips, WI 54555-1418
Phone (715) 339-3113
615 Peterson Ave
Phillips, WI 54555-1452
Phone (715) 339-6284
98 Sherry Ave
Park Falls, WI 54552-1412
Phone (715) 762-2484
Hospital & facility affiliations
- Flambeau Hospital
- Marshfield Medical Center - Minocqua
- Marshfield Medical Center
- Park Manor LTD
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.03 of 100
- Quality
- 78.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100320000244 | WI | Practitioner - Family Practice | 0749315372 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Memorial Hospital Inc | Past | Accepting new patients | |
| Flambeau Hospital Inc | Past | Accepting new patients |
Locations
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
50 Sherry Ave
Park Falls, WI 54552
Phone (715) 762-3212
104 Trinity Dr
Phillips, WI 54555
Phone (715) 339-2101
Interoperability endpoints
- lee.anderson@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39002 | WI | Yes |
Addresses
Primary practice location
104 Trinity Dr
Phillips, WI 54555
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32576200 | Medicaid | WI |
Other providers in Phillips, WI
- Lauren Ashley Arndt
- Aspirus Extended Services, Inc.
- Aspirus Extended Services, Inc.
- Aspirus Medford Hospital & Clinics, Inc.
- Aurora Pharmacy Inc
All providers in Phillips, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.