Jerry Anderson (NPI# 1790164234, PAC ID# 1850608001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1790164234 |
| PAC ID by PECOS | 1850608001 |
| Professional Enrollment ID | I20150921001140 |
| Full Name | Jerry Anderson |
| Organization Legal Name | VERICARE PC |
| Address |
4905 Fleming St Bayou Pines Care Center La Marque TX 77568-3049 |
| Phone Number | 8002578715 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 1850204983 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4905 Fleming St, Bayou Pines Care Center, La Marque, TX 77568-3049 | 8002578715 | VERICARE PC |
| Organization Legal Name | VERICARE PC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lee Fast | Psychologist, Clinical | Vericare PC | 920 E Fm, 1187 Crowley Nursing and Rehab, Crowley, TX 76036-4349 |
| Margaret M Vaughan | Clinical Social Worker | Vericare PC | 9250 Humble Westfield Rd, Humble, TX 77338-4247 |
| Jokae Ingram | Clinical Psychologist | Vericare PC | 2100 Cannon Dr, Mansfield, TX 76063-3476 |
| Necole L Rivers | Clinical Psychologist | Vericare PC | 7625 Glenview Dr, Richland Hills, TX 76180-8331 |
| Swapnila Das | Clinical Psychologist | Vericare PC | 6600 Lands End Court, Plaza At Ridgemar, Fort Worth, TX 76116-2100 |
| Jessica L Cooper | Clinical Social Worker | Vericare PC | 99 Rigby Owen Rd, Conroe, TX 77304-1765 |
| Kelly Clines Thompson | Clinical Social Worker | Vericare PC | 8836 Mars Dr, Hewitt, TX 76643-3195 |
| Sze Sze Tong | Clinical Psychologist | Vericare PC | 1615 11th St, Floresville, TX 78114-2403 |
| Sabrina Powell | Clinical Social Worker | Vericare PC | 101 Watermere Dr, Isle At Watermere Assisted Living, Southlake, TX 76092-8116 |
| Joan Elizabeth Assseff | Clinical Social Worker | Vericare PC | 6801 E Riverside Dr, Austin, TX 78741-6633 |
| Street Address |
4905 FLEMING ST BAYOU PINES CARE CENTER |
| City | LA MARQUE |
| State | TX |
| Zip | 77568-3049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Handley | Family Practice | 4632 Nasa Pkwy, Seabrook, TX 77568-5414 | |
| Drury L Woodson | Internal Medicine | Center for Primary Care Specialists, P.a. | 622 Hwy 3, La Marque, TX 77568-5936 |
| City | LA MARQUE |
| Zip Code | 77568 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LA MARQUE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jerry Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.