Dr Thomas P Van Bruggen, MD is a medicare enrolled "Surgery" physician in Wadena, Minnesota. His current practice location is
4 Deerwood Ave Nw, Wadena, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 631-1360.
Dr Thomas P Van Bruggen is licensed to practice in Minnesota (license number 25385) 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 1649387291.
Physician's Profile
Full Name | Dr Thomas P Van Bruggen |
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Gender | Male |
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Speciality | Surgery |
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Location | 4 Deerwood Ave Nw, Wadena, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649387291
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214907062
- Enrollment ID: I20080122000350
Medical Identifiers
Medical identifiers for Dr Thomas P Van Bruggen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649387291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 25385 (Minnesota) | 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 Thomas P Van Bruggen allows following entities to bill medicare on his behalf.
Entity Name | Astera Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
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Entity Name | Astera Health |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
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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. Dr Thomas P Van Bruggen 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 Thomas P Van Bruggen, MD 4 Deerwood Ave Nw, Wadena, MN 56482-1253 Ph: (218) 631-1360 | Dr Thomas P Van Bruggen, MD 4 Deerwood Ave Nw, Wadena, MN 56482-1253 Ph: (218) 631-1360 |
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