Charles Jay Vandenberg Iv, DO is a medicare enrolled "Internal Medicine" physician in Manistee, Michigan. 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 | |
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Experience | 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. |
Medical Education and Training:
- Charles Jay Vandenberg Iv attended and graduated from in
NPI Data:
- NPI Number: 1750638516
- Provider Enumeration Date: 08/12/2012
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charles Jay Vandenberg Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750638516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2012020880 (Missouri) | Secondary |
207R00000X | Internal Medicine | 5101021764 (Michigan) | 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. 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 |
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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