Dr Ma Theresa L Vanden Berg, MD in Longview, WA

Dr Ma Theresa L Vanden Berg, MD is a medicare enrolled "Family Medicine" physician in Longview, Washington. She graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Vancouver Clinic Inc Ps and her current practice location is 1718 E Kessler Blvd, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 747-5800.

Dr Ma Theresa L Vanden Berg is licensed to practice in Washington (license number MD60120609) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952591711.

Contact Information

	Dr Ma Theresa L Vanden Berg, MD
	1718 E Kessler Blvd, Longview, WA 98632-1842
	(360) 747-5800
	(360) 575-3846

Map and Direction

Physician's Profile

Full Name	Dr Ma Theresa L Vanden Berg
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	1718 E Kessler Blvd, Longview, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ma Theresa L Vanden Berg graduated from medical school in 2001

NPI Data:

NPI Number: 1952591711
Provider Enumeration Date: 07/27/2007
Last Update Date: 07/30/2012

Medicare PECOS Information:

PECOS PAC ID: 7315132982
Enrollment ID: I20101109000305

Medical Identifiers

Medical identifiers for Dr Ma Theresa L Vanden Berg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952591711	NPI	-	NPPES
0263926	Other	WA	L & I /CRIME VICTIMS
500624616	Medicaid	OR
2008004	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301089956 (Michigan)	Secondary
207Q00000X	Family Medicine	MD60120609 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Vancouver Clinic Inc Ps	3173436490	471

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 Ma Theresa L Vanden Berg allows following entities to bill medicare on her behalf.

Entity Name	The Vancouver Clinic Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793

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 Ma Theresa L Vanden Berg 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 Ma Theresa L Vanden Berg, MD Po Box 3002, Longview, WA 98632-0302 Ph: (360) 747-5800	Dr Ma Theresa L Vanden Berg, MD 1718 E Kessler Blvd, Longview, WA 98632-1842 Ph: (360) 747-5800

Reviews and Comments

Family Medicine Doctors in Longview, WA

Mr. Albert Hung-pei Luh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801
Michael Adam Krall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801
Dr. Joseph Leslie Davis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2807 36th Ave, Longview, WA 98632 Phone: 360-425-8365
Muhammad Riaz, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800 Fax: 360-414-7808
Dr. Morgan Daneel Evans, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846
Mu-hsiang Joy Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846
Peter W Dicristina, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400

Dr Ma Theresa L Vanden Berg, MD - Medicare Family Practice in Longview, WA