Dwayne P Vanderberg, MD is a medicare enrolled "Internal Medicine" physician in Olivehurst, California. He went to Loma Linda University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ampla Health and his current practice location is
4941 Olivehurst Ave, Olivehurst, California. You can reach out to his office (for appointments etc.) via phone at
(530) 743-4611.
Dwayne P Vanderberg is licensed to practice in California (license number G73626) 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 1225012008.
Physician's Profile
| Full Name | Dwayne P Vanderberg |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 36 Years |
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| Location | 4941 Olivehurst Ave, Olivehurst, California |
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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:
- Dwayne P Vanderberg attended and graduated from Loma Linda University School Of Medicine in 1988
NPI Data:
- NPI Number: 1225012008
- Provider Enumeration Date: 12/05/2005
- Last Update Date: 07/05/2011
Medicare PECOS Information:
- PECOS PAC ID: 5193789139
- Enrollment ID: I20041118000564
Medical Identifiers
Medical identifiers for Dwayne P Vanderberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225012008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | G73626 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ampla Health | 5092619270 | 62 |
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. Dwayne P Vanderberg allows following entities to bill medicare on his behalf.
| Entity Name | Ampla Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952333635
PECOS PAC ID: 5092619270
Enrollment ID: O20040225001116 |
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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. Dwayne P Vanderberg 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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Dwayne P Vanderberg, MD
Po Box A D,
Yuba City, CA 95992-1396
Ph: (530) 751-3769 | Dwayne P Vanderberg, MD
4941 Olivehurst Ave,
Olivehurst, CA 95961-4225
Ph: (530) 743-4611 |
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