MEDICARE: DR. BETTE L ANDERSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	BA0383757	IL
2	207W00000X	Ophthalmology Physician	036073436	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	205022193	OTHER	IL	TRI-CARE
2	1032096	OTHER	IL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	960582	OTHER	IL	UNITED HEALTHCARE
5	301724	OTHER	IL	PERSONAL CARE

General Provider Information

NPI Number	:	1386612927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETTE L ANDERSON M.D.

Provider Business Mailing Address
First Line	:	3015 VILLAGE OFFICE PL
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61822-7674
Country	:	US
Telephone Number	:	217-355-7947
Fax Number	:	217-355-8047

Provider Business Practice Location Address
First Line	:	3015 VILLAGE OFFICE PL
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61822-7674
Country	:	US
Telephone Number	:	217-355-7947
Fax Number	:	217-355-8047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/28/2018

Similar Medicare Providers

1194866699 — DR. BRUCE GAIL SAMMONS
Practice Location Address:

3003 VILLAGE OFFICE PLACE
CHAMPAIGN, IL
61822-7674

Practice Phone: 217-359-4246
Practice Fax:

1508300740 — DANA LYNN BAKER LCPC
Practice Location Address:

3015 VILLAGE OFFICE PL # B
CHAMPAIGN, IL
61822-7674

Practice Phone: 217-239-6085
Practice Fax: 217-356-7964

1982542403 — ALEXIS HAMP
Practice Location Address:

4108 FIELDSTONE RD STE A
CHAMPAIGN, IL
61822-8808

Practice Phone: 779-435-0388
Practice Fax:

1063640639 — DR. IRSHAD AHMED SIDDIQUI M.D.
Practice Location Address:

1801 W WINDSOR RD
CHAMPAIGN, IL
61822-6217

Practice Phone: 217-366-8130
Practice Fax:

1659172385 — CHAMPAIGN BEHAVIORAL HEALTH LLC
Practice Location Address:

3202 WYNSTONE DR
CHAMPAIGN, IL
61822-7403

Practice Phone: 630-631-9623
Practice Fax:

1093113078 — EYEMART EXPRESS LLC
Practice Location Address:

2515 N PROSPECT AVE , STE 100
CHAMPAIGN, IL
61822-1226

Practice Phone: 217-355-0354
Practice Fax: 217-355-0722

Directions to “ DR. BETTE L ANDERSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.