Vander M Wynn, MD is a medicare enrolled "Anesthesiology" physician in North Port, Florida. He went to University Of Oklahoma College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Medstream Anesthesia Pllc, Medstream Anesthesia Pllc, Medstream Anesthesia Pllc, Medstream Anesthesia Pllc and his current practice location is
5309 Waterview Dr, North Port, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 261-1158.
Vander M Wynn is licensed to practice in Florida (license number ME66148) 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 1497866040.
Physician's Profile
Full Name | Vander M Wynn |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 34 Years |
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Location | 5309 Waterview Dr, North Port, Florida |
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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. |
Medical Education and Training:
- Vander M Wynn attended and graduated from University Of Oklahoma College Of Medicine in 1990
NPI Data:
- NPI Number: 1497866040
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557391125
- Enrollment ID: I20080905000442
Medical Identifiers
Medical identifiers for Vander M Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497866040 | NPI | - | NPPES |
050029800 | Other | | RAILROAD MEDICARE |
375454500 | Medicaid | FL | |
25438 | Other | FL | BLUE CROSS BLUE SHIELD OF FL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | ME66148 (Florida) | Primary |
207L00000X | Anesthesiology | 281372 (New York) | Secondary |
207L00000X | Anesthesiology | 075180 (Georgia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
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. Vander M Wynn allows following entities to bill medicare on his behalf.
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
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Entity Name | Sheridan Healthcorp Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
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Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140128001202 |
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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. Vander M Wynn 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 |
Vander M Wynn, MD 5309 Waterview Dr, North Port, FL 34291-8032 Ph: (239) 261-1158 | Vander M Wynn, MD 5309 Waterview Dr, North Port, FL 34291-8032 Ph: (239) 261-1158 |
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