Dr Brent J Van Andel, MD in Espanola, NM - Medicare Family Medicine

Dr Brent J Van Andel, MD is a medicare enrolled "Family Medicine" physician in Espanola, New Mexico. His current practice location is 711 Bond St, El Centro Family Health Bond Clinic, Espanola, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 753-9503.

Dr Brent J Van Andel is licensed to practice in New Mexico (license number 2004-0159) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770576134.

Contact Information

	Dr Brent J Van Andel, MD
	711 Bond St, El Centro Family Health Bond Clinic, Espanola, NM 87532-2729
	(505) 753-9503
	(505) 747-1004

Map and Direction

Physician's Profile

Full Name	Dr Brent J Van Andel
Gender	Male
Speciality	Family Medicine
Location	711 Bond St, Espanola, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770576134
Provider Enumeration Date: 08/31/2005
Last Update Date: 07/01/2013

Medicare PECOS Information:

PECOS PAC ID: 8820062995
Enrollment ID: I20040824000750

Medical Identifiers

Medical identifiers for Dr Brent J Van Andel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770576134	NPI	-	NPPES
NMA100443	Other	NM	MEDICARE PTAN
99750040	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2004-0159 (New Mexico)	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. Dr Brent J Van Andel allows following entities to bill medicare on his behalf.

Entity Name	El Centro Family Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780689034 PECOS PAC ID: 9830080688 Enrollment ID: O20100528000457

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. Dr Brent J Van Andel 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
Dr Brent J Van Andel, MD Po Box 158, El Centro Family Health, Espanola, NM 87532-0158 Ph: (505) 753-7218	Dr Brent J Van Andel, MD 711 Bond St, El Centro Family Health Bond Clinic, Espanola, NM 87532-2729 Ph: (505) 753-9503

Reviews and Comments

Family Medicine Doctors in Espanola, NM

Amy Longfellow, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7395 Fax: 505-426-3492
Michael D Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St 3rd Fl Area 5, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-747-2025
Dechen Wangmo Tsewang, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Rr5 Box 446, Santa Clara Health Center, Espanola, NM 87532 Phone: 505-753-9421 Fax: 505-753-5039
Vidya Subramanian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346
Larry L Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438
Tanya P. Reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 Phone: 505-753-7218
Enid D Lewis, RD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438

Dr Brent J Van Andel, MD - Medicare Family Medicine in Espanola, NM