Jamie Anne Vander Velden, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Siren, Wisconsin. Her current practice location is
23642 State Road 35 Lot 28, Siren, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 566-1699.
Jamie Anne Vander Velden is licensed to practice in Minnesota (license number 26706) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477190692.
Healthcare Provider's Profile
Full Name | Jamie Anne Vander Velden |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 23642 State Road 35 Lot 28, Siren, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477190692
- Provider Enumeration Date: 12/06/2019
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820403777
- Enrollment ID: I20210226001415
Medical Identifiers
Medical identifiers for Jamie Anne Vander Velden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477190692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 26706 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamie Anne Vander Velden is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jamie Anne Vander Velden, LICSW 23642 State Road 35 Lot 28, Siren, WI 54872-8226 Ph: (715) 566-1699 | Jamie Anne Vander Velden, LICSW 23642 State Road 35 Lot 28, Siren, WI 54872-8226 Ph: (715) 566-1699 |
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