Mrs Susan K Vandertie, RD CDE in Milwaukee, WI - Medicare Dietitian, Registered Provider

Mrs Susan K Vandertie, RD CDE is a medicare enrolled "Dietitian, Registered" provider in Milwaukee, Wisconsin. Her current practice location is 2323 N Lake Dr, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 291-1143.

Mrs Susan K Vandertie is licensed to practice in * (Not Available) (license number ) 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 1023221660.

Contact Information

	Mrs Susan K Vandertie, RD CDE
	2323 N Lake Dr, Milwaukee, WI 53211-4508
	(414) 291-1143
	(414) 291-1999

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Susan K Vandertie
Gender	Female
Speciality	Dietitian, Registered
Location	2323 N Lake Dr, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023221660
Provider Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9537343280
Enrollment ID: I20110405000654

Medical Identifiers

Medical identifiers for Mrs Susan K Vandertie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023221660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Susan K Vandertie allows following entities to bill medicare on her behalf.

Provider Name	Columbia St Marys Hospital Milwaukee Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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. Mrs Susan K Vandertie 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
Mrs Susan K Vandertie, RD CDE 1010 N 122nd St, Wauwatosa, WI 53226-3312 Ph: (414) 259-1935	Mrs Susan K Vandertie, RD CDE 2323 N Lake Dr, Milwaukee, WI 53211-4508 Ph: (414) 291-1143

Reviews and Comments

Dietitian, Registered in Milwaukee, WI

Elisabeth Gorecki, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-7782
Lisa Marie Herzberg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2301 N Lake Dr, Milwaukee, WI 53211 Phone: 414-291-1316
Kyndal Lyn Hettich, RD, CSP, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-5938
Mrs. Ann Elizabeth Markuson, RD,CD,CDE Dietitian Medicare: Medicare Enrolled Practice Location: 6200 W Bluemound Rd, Milwaukee, WI 53213 Phone: 414-771-5600 Fax: 414-476-9988
Laurie Meyer, MS RDN CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7405 N Skyline Ln, Milwaukee, WI 53217 Phone: 414-243-7576
Ms. Annemarie R Hardy, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 Fax: 414-389-4198

Mrs Susan K Vandertie, RD CDE - Medicare Dietitian in Milwaukee, WI