Bette L Anderson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036073436 Issued in IL

Practice address

3015 Village Office PL
Champaign, IL 61822-7674

Phone

(217) 355-7947

Fax

(217) 355-8047

NPI assigned

Mar 9, 2006

Last updated

Mar 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Northwestern University Feinberg Medical School, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summa Health System Hospital, Akron, OH, CCN 360020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 30)

Interoperability endpoints

• Direct secure messaging: banderson21182@summahealth-direct.org
• Direct secure messaging: banderson27519@sih.direct-ci.com
• FHIR API: https://app.meldrx.com/api/fhir/4OYUY6GG

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David M Harman MD LLC

  dba Brian Looney, OD

  • Ophthalmology Physician
  • Forest, VA
  • NPI 1306950431
  Medicare reassignment NPD
• Mountain Empire Eye Physicians PLLC

  • Ophthalmology Physician
  • Bristol, TN
  • NPI 1609969682

  VA

  Medicare reassignment NPD
• Anderson Eye Associates, LTD

  • Specialist
  • Savoy, IL
  • NPI 1790855831
  Authorized official Same address or phone
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Obstetrics & Gynecology Physician
  • Akron, OH
  • NPI 1235167719
  NPD
• Harman Eye Center of Appomattox and Associates PLC

  • Optometrist
  • Appomattox, VA
  • NPI 1316020886
  NPD (past)
• Vista Eye Specialists PC

  • Ophthalmology Physician
  • Locust Grove, VA
  • NPI 1649408253
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summa Health System

  dba Summa Health System Ignatia Hall South

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Hospital

  Care Compare affiliation
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681
  Care Compare affiliation
• Summa Health System

  • Clinical Medical Laboratory
  • Barberton, OH
  • NPI 1609263706

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1386612927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 VILLAGE OFFICE PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227674",
            "telephone_number": "217-355-7947",
            "fax_number": "217-355-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 VILLAGE OFFICE PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227674",
            "telephone_number": "217-355-7947",
            "fax_number": "217-355-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BETTE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "BA0383757",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036073436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "205022193",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1032096",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073436",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "960582",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE",
            "identifier": "301724",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krishan Amin
• Muhamad Amine, M.D.
• Andersen Chiropractic Health, S.C.
• Norman Duane Andersen Jr., D.C.
• Barbara Rachael Kammrath Anderson
• Brittany N Anderson, APN
• David M Anderson, M.D
• John S Anderson
• Kendra Anderson, NP
• Kristine S Anderson, PA

• Ophthalmology Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.