Charles Jay Vandenberg Iv, DO is a medicare enrolled "Internal Medicine" physician in Manistee, Michigan. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Munson Healthcare Manistee Hospital and his current practice location is
1293 E Parkdale Ave, Manistee, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 398-1840.
Charles Jay Vandenberg Iv is licensed to practice in Michigan (license number 5101021764) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750638516.
Physician's Profile
| Full Name | Charles Jay Vandenberg Iv |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 12 Years |
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| Location | 1293 E Parkdale Ave, Manistee, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles Jay Vandenberg Iv attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2012
NPI Data:
- NPI Number: 1750638516
- Provider Enumeration Date: 08/12/2012
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305155029
- Enrollment ID: I20151020003017
Medical Identifiers
Medical identifiers for Charles Jay Vandenberg Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750638516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 2012020880 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 5101021764 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Munson Healthcare Manistee Hospital | 3072414333 | 22 |
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. Charles Jay Vandenberg Iv allows following entities to bill medicare on his behalf.
| Entity Name | Munson Healthcare Manistee Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649457771
PECOS PAC ID: 3072414333
Enrollment ID: O20040119000647 |
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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. Charles Jay Vandenberg Iv 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 |
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Charles Jay Vandenberg Iv, DO
1391 E Parkdale Ave,
Manistee, MI 49660-9352
Ph: (231) 398-1760 | Charles Jay Vandenberg Iv, DO
1293 E Parkdale Ave,
Manistee, MI 49660-8904
Ph: (231) 398-1840 |
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