Jon Robert Vanderweele, DO is a medicare enrolled "Otolaryngology" physician in Jamestown, New York. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2004 and has 20 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Great Lakes Physician Practice Pc and his current practice location is
15 S Main St Ste 240, Jamestown, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 483-0816.
Jon Robert Vanderweele is licensed to practice in New York (license number 296514-01) 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 1598737801.
Physician's Profile
| Full Name | Jon Robert Vanderweele |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 20 Years |
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| Location | 15 S Main St Ste 240, Jamestown, New York |
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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:
- Jon Robert Vanderweele attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004
NPI Data:
- NPI Number: 1598737801
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729332556
- Enrollment ID: I20181114002955
Medical Identifiers
Medical identifiers for Jon Robert Vanderweele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598737801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 296514-01 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Great Lakes Physician Practice Pc | 6709007701 | 127 |
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. Jon Robert Vanderweele allows following entities to bill medicare on his behalf.
| Entity Name | Great Lakes Physician Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730599176
PECOS PAC ID: 6709007701
Enrollment ID: O20141016000108 |
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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. Jon Robert Vanderweele 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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Jon Robert Vanderweele, DO
571 Saint Josephs Blvd, Fl 2,
Elmira, NY 14901-3230
Ph: (607) 271-2050 | Jon Robert Vanderweele, DO
15 S Main St Ste 240,
Jamestown, NY 14701-6627
Ph: (716) 483-0816 |
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