Nathaniel J Vangrouw, DO, RESIDENT is a medicare enrolled "Family Medicine" physician in Glen Daniel, West Virginia. His current practice location is
7031 Harper Rd, Glen Daniel, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 934-4000.
Nathaniel J Vangrouw is licensed to practice in West Virginia (license number 4099) 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 1952971608.
Physician's Profile
| Full Name | Nathaniel J Vangrouw |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 7031 Harper Rd, Glen Daniel, West Virginia |
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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: 1952971608
- Provider Enumeration Date: 06/25/2021
- Last Update Date: 11/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456754456
- Enrollment ID: I20240926000400
Medical Identifiers
Medical identifiers for Nathaniel J Vangrouw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952971608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | ED1024 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 4099 (West Virginia) | 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. Nathaniel J Vangrouw allows following entities to bill medicare on his behalf.
| Entity Name | Community Health Systems Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1588738538
PECOS PAC ID: 6608785795
Enrollment ID: O20040311000504 |
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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. Nathaniel J Vangrouw 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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Nathaniel J Vangrouw, DO, RESIDENT
252 Rural Acres Dr,
Beckley, WV 25801-3503
Ph: (304) 252-8555 | Nathaniel J Vangrouw, DO, RESIDENT
7031 Harper Rd,
Glen Daniel, WV 25844-9480
Ph: (304) 934-4000 |
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