Mr Stephen John Vanwylen, MD is a medicare enrolled "Surgery" physician in Watford City, North Dakota. He went to Michigan State University College Of Human Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mckenzie County Healthcare Systems Inc and his current practice location is
709 4th Ave Ne, Watford City, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 842-3771.
Mr Stephen John Vanwylen is licensed to practice in North Dakota (license number 8806) 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 1437115565.
Physician's Profile
| Full Name | Mr Stephen John Vanwylen |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 42 Years |
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| Location | 709 4th Ave Ne, Watford City, North Dakota |
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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:
- Mr Stephen John Vanwylen attended and graduated from Michigan State University College Of Human Medicine in 1982
NPI Data:
- NPI Number: 1437115565
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 10/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850336272
- Enrollment ID: I20221110002174
Medical Identifiers
Medical identifiers for Mr Stephen John Vanwylen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437115565 | NPI | - | NPPES |
| 1916935 | Medicaid | MI | |
| 020G010060 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 382809956 | Other | | COMMERCIAL |
| 71992 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 43010402855 (Michigan) | Secondary |
| 208600000X | Surgery | 8806 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mckenzie County Healthcare Systems Inc | 5890768006 | 24 |
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. Mr Stephen John Vanwylen allows following entities to bill medicare on his behalf.
| Entity Name | Mckenzie County Healthcare Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063420495
PECOS PAC ID: 5890768006
Enrollment ID: O20040817000016 |
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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. Mr Stephen John Vanwylen 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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Mr Stephen John Vanwylen, MD
709 4th Ave Ne,
Watford City, ND 58854-7628
Ph: (701) 842-3771 | Mr Stephen John Vanwylen, MD
709 4th Ave Ne,
Watford City, ND 58854-7628
Ph: (701) 842-3771 |
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