Jan Vanderlinde, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Kittery, Maine. His current practice location is
402 Goodrich Avenue, Kittery, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 438-5981.
Jan Vanderlinde is licensed to practice in New Hampshire (license number 9956) 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 1982613048.
Physician's Profile
| Full Name | Jan Vanderlinde |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 402 Goodrich Avenue, Kittery, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982613048
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 12/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486671062
- Enrollment ID: I20051102000399
Medical Identifiers
Medical identifiers for Jan Vanderlinde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982613048 | NPI | - | NPPES |
| 0113051 | Medicaid | MA | |
| 930100687 | Other | | RAILROAD MEDICARE |
| 30201163 | Medicaid | NH | |
| 332970099 | Medicaid | ME | |
| 0100859Y0NH01 | Other | NH | ANTHEM |
| AA14477 | Other | | HARVARD PILGRIM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 9956 (New Hampshire) | 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. Jan Vanderlinde allows following entities to bill medicare on his behalf.
| Entity Name | Seacoast Emergency Physicians, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134155872
PECOS PAC ID: 9234108200
Enrollment ID: O20040927000785 |
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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. Jan Vanderlinde 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 |
|---|
Jan Vanderlinde, MD
102 Breezy Way,
Barrington, NH 03825-3751
Ph: (072) 752-0862 | Jan Vanderlinde, MD
402 Goodrich Avenue,
Kittery, ME 03904
Ph: (207) 438-5981 |
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